Organization
JOHN BIRD
Active
Other names
ISLAND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE KNIGHT (MANAGER)
(318) 389-4848
Entity
Organization
Contact information
Practice address
800 CHISUM STREET, SICILY ISLAND, LA 71368
(318) 389-4848
(318) 389-4849
Mailing address
PO BOX 38, SICILY ISLAND, LA 71368-0038
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
08/31/2010
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