Organization
TRI-STATE MEDICAL SUPPLIES, INC
Active
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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