Organization
MC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN MULLINS (PRESIDENT/OWNER)
(601) 587-0173
Entity
Organization
Contact information
Practice address
1223 HIGHWAY 98 BYP, COLUMBIA, MS 39429-3732
(601) 736-7994
(601) 731-7691
Mailing address
PO BOX 1189, MONTICELLO, MS 39654-1189
(601) 587-0173
(601) 587-0280
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02767/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440198
—
MS
Enumeration date
06/20/2005
Last updated
10/09/2014
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