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Organization
COMMUNITY MEDICAL SUPPLY
Active
Organization
COMMUNITY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BURTON (PRESIDENT)
(662) 269-2973
Entity
Organization
Contact information
Practice address
410 S GLOSTER ST, SUITE B, TUPELO, MS 38801-5526
(662) 269-2973
(662) 269-3186
Mailing address
410 S GLOSTER ST, SUITE B, TUPELO, MS 38801-5526
(662) 269-2973
(662) 269-3186
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10819-11.1
MS
Other
Enumeration date
03/07/2012
Last updated
10/08/2012
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