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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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