Organization
SKYLINE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DUNNIGAN (AUTHORIZED OFFICIAL)
(877) 412-1537
Entity
Organization
Contact information
Practice address
15312 DEDEAUX RD STE B, GULFPORT, MS 39503-3123
(877) 412-1537
(228) 203-3814
Mailing address
15312 DEDEAUX RD STE B, GULFPORT, MS 39503-3123
(877) 412-1537
(228) 203-3814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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