Organization
M-D MEDICAL SERVICES, INC.
Active
Organization
M-D MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE WARD (PRESIDENT)
(601) 919-9196
Entity
Organization
Contact information
Practice address
105 SPANN DR STE A, BRANDON, MS 39047-8810
(601) 919-9196
(601) 919-0609
Mailing address
105 SPANN DR STE A, BRANDON, MS 39047-8810
(601) 919-9196
(601) 919-0609
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0000001106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4582243
—
TN
Enumeration date
06/04/2013
Last updated
05/27/2015
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