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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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