Organization
MADISON MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY STEPHENS (OWNER/MBR)
(601) 213-6467
Entity
Organization
Contact information
Practice address
805 LAKE COUNTY LN, MADISON, MS 39110-9544
(601) 213-6467
(601) 856-8825
Mailing address
7720 OLD CANTON RD, STE C, MADISON, MS 39110-9299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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