Organization
SOUTHERN SICKROOM SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GABLE (PRESIDENT)
(662) 328-0847
Entity
Organization
Contact information
Practice address
1202 MAIN ST, COLUMBUS, MS 39701-5833
(662) 328-0847
Mailing address
1202 MAIN ST, COLUMBUS, MS 39701-5833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040673
—
MS
Enumeration date
06/23/2006
Last updated
07/21/2022
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