Organization
JOHN D. WHITEHEAD
Active
Other names
Lexington Medical Supply, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WHITEHEAD C.R.T (OWNER/MANAGER)
(662) 834-4600
Entity
Organization
Contact information
Practice address
22743 HWY 12, LEXINGTON, MS 39095
(662) 834-4600
(662) 834-4606
Mailing address
PO BOX 652, DURANT, MS 39063
(662) 834-4600
(662) 834-4606
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
RCP0972
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00477052
—
MS
Enumeration date
10/05/2010
Last updated
05/07/2013
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