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Organization

TRI-STATE MEDICAL SUPPLIES, INC

Active
Other names
Diabetic Resource Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MS. INGRID DIONE TRAWICK (PRESIDENT)
(334) 671-3035
Entity
Organization

Contact information

Practice address
545 W MAIN ST, SUITE 305, DOTHAN, AL 36301-1654
(334) 671-3035
(334) 671-1195
Mailing address
PO BOX 1032, DOTHAN, AL 36302-1032
(334) 671-3035
(334) 671-1195

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009944675
AL
01
BCBS
51516630
AL
Enumeration date
05/03/2006
Last updated
06/17/2008
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