Organization
G & N ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NA BECK (MANAGING MEMBER)
(601) 709-4646
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 100, JACKSON, MS 39206-3053
(601) 709-4646
Mailing address
460 BRIARWOOD DR STE 100, JACKSON, MS 39206-3053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15014/11.1
MS
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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