Organization
MEDSMART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW JORDAN (PARTNER-MANAGER)
(601) 956-1330
Entity
Organization
Contact information
Practice address
5056 I 55 N, JACKSON, MS 39211-4411
(601) 956-1330
(601) 956-1348
Mailing address
5056 I 55 N, JACKSON, MS 39211-4411
(601) 956-1330
(601) 956-1348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02053764
—
MS
Enumeration date
06/18/2012
Last updated
10/04/2013
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