Organization
NEA MEDSOURCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD STEELE CULLUM (PRESIDENT)
(870) 931-4455
Entity
Organization
Contact information
Practice address
2829 STADIUM BLVD, JONESBORO, AR 72401-7427
(870) 931-4455
(870) 931-4456
Mailing address
2829 STADIUM BLVD, JONESBORO, AR 72401-7427
(870) 931-4455
(870) 931-4456
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG00793
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG00793
AR
Other
Enumeration date
09/25/2006
Last updated
09/11/2025
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