Organization
SOUTH MISSISSIPPI DURABLE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE A HAMILTON III (MEMBER)
(504) 813-9037
Entity
Organization
Contact information
Practice address
1821 OLD SPANISH TRL, SUITE A, GAUTIER, MS 39553-6069
(228) 497-9590
Mailing address
1821 OLD SPANISH TRL, SUITE A, GAUTIER, MS 39553-6069
(228) 497-9590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
02/06/2008
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