Organization
ADVANCED MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL KATHLEEN SUDDUTH (PRESIDENT)
(601) 479-4963
Entity
Organization
Contact information
Practice address
1010 19TH AVE, MERIDIAN, MS 39301-5227
(601) 479-4963
(601) 453-5176
Mailing address
1010 19TH AVE, MERIDIAN, MS 39301-5227
(601) 479-4963
(601) 453-5176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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