Organization
MISSISSIPPI MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FARRIS JAMISON (PRESIDENT)
(601) 952-0124
Entity
Organization
Contact information
Practice address
5836 N COMMERCE PLZ, JACKSON, MS 39206-2936
(601) 952-0124
(601) 978-1736
Mailing address
PO BOX 13892, JACKSON, MS 39236-3892
(601) 952-0124
(601) 978-1736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
025331018
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440566
—
MS
Enumeration date
06/17/2005
Last updated
09/16/2009
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