Organization
DURABLE MEDICAL EQUIPMENT
Active
Other names
CENTER FOR DIABETES FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN EVANS REED (EXECUTIVE DIRECTOR)
(601) 372-9575
Entity
Organization
Contact information
Practice address
820 COOPER RD, SUITE I, JACKSON, MS 39212-4099
(601) 372-9575
(601) 376-0404
Mailing address
820 COOPER RD, SUITE I, JACKSON, MS 39212-4099
(601) 372-9575
(601) 376-0404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015701
—
MS
Enumeration date
06/27/2006
Last updated
08/22/2020
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