Organization
MOBILITY MEDICAL OF STARKVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE CARROLL (CEO)
(662) 324-1411
Entity
Organization
Contact information
Practice address
101 FLOWOOD DR, FLOWOOD, MS 39232-3206
(601) 932-1001
Mailing address
400 INDUSTRIAL PARK RD STE B, STARKVILLE, MS 39759-3987
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
07916
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07916
PHARMACY NO
—
Enumeration date
01/06/2009
Last updated
01/06/2009
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