Organization
MED-SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART PACE (SR VICE PRESIDENT OF CORP. DEV.)
(205) 414-7421
Entity
Organization
Contact information
Practice address
208 W FRONT ST, EVERGREEN, AL 36401-2815
(251) 578-2979
(251) 578-5316
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
080249
AL
Other
Enumeration date
12/19/2007
Last updated
12/27/2007
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