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Organization

ROCKY L. MCGARITY, INC

Active
Other names
Live Oak Medical Equipment & Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROCKY L MCGARITY RPH (OWNER)
(601) 766-0340
Entity
Organization

Contact information

Practice address
103 WEST FRONTAGE RD, SUITE B, LUCEDALE, MS 39452
(601) 766-0340
(601) 766-0302
Mailing address
103 WEST FRONTAGE RD, SUITE B, LUCEDALE, MS 39452
(601) 766-0340
(601) 766-0302

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05006/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440810
MS
Enumeration date
06/12/2006
Last updated
05/17/2016
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