Organization
ERIC HOLT
Active
Other names
Care Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC HOLT (OWNER)
(601) 346-9423
Entity
Organization
Contact information
Practice address
404 KIA LEA DR, JACKSON, MS 39212-3278
(601) 201-5664
(601) 346-9423
Mailing address
404 KIA LEA DR, JACKSON, MS 39212-3278
(601) 201-5664
(601) 346-9423
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05910/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04381879
—
MS
Enumeration date
11/13/2007
Last updated
07/16/2008
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