Organization
MASSVAX TRAVEL CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY CHARLES THOMPSON R.R.T. (RESPIRATORY THERAPIST)
(334) 790-2260
Entity
Organization
Contact information
Practice address
113 PARKSIDE DR, HEADLAND, AL 36345-1520
(334) 790-2260
Mailing address
113 PARKSIDE DR, HEADLAND, AL 36345-1520
(334) 790-2260
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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