Organization
SOUTHERN MEDICAL PRODUCT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA KARR (OFFICE MANAGER)
(205) 664-3824
Entity
Organization
Contact information
Practice address
5140 HIGHWAY 17, SUITE 3, HELENA, AL 35080-3513
(205) 664-3824
(205) 664-5367
Mailing address
5140 HIGHWAY 17, SUITE 3, HELENA, AL 35080-3513
(205) 664-3824
(205) 664-5367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11596
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941555
—
AL
01
—
51096442
BCBS PROVIDER NUMBER
AL
Enumeration date
07/23/2006
Last updated
09/17/2008
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