Organization
WIREGRASS MEDICAL HOLDINGS LLC
Active
Other names
Wiregrass HME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN L EUBANKS (PARTNER)
(334) 446-5285
Entity
Organization
Contact information
Practice address
566 W CARROLL ST STE 3, DOTHAN, AL 36301-4376
(334) 446-5285
Mailing address
566 W CARROLL ST STE 3, DOTHAN, AL 36301-4376
(334) 446-5285
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
05/28/2020
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