Organization
MID-SOUTH MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE ANN CLEMMER (OFFICE MANAGER)
(662) 837-4824
Entity
Organization
Contact information
Practice address
1021 CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-4824
(662) 837-0035
Mailing address
1021 CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-4824
(662) 837-0035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440205
—
MS
Enumeration date
10/02/2006
Last updated
08/22/2020
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