Organization
NORTH BEACH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK J HYMAN (REPRESENTATIVE)
(228) 466-6373
Entity
Organization
Contact information
Practice address
523 ULMAN AVE, BAY ST LOUIS, MS 39520-3524
(228) 466-6373
(228) 466-6372
Mailing address
P O BOX 2867, BAY ST LOUIS, MS 39521-2867
(228) 466-6373
(228) 466-6372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/08/2011
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