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Organization

MED SOUTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC J SHIFLET (COO)
(205) 221-8200
Entity
Organization

Contact information

Practice address
600 SAINT CLAIR AVE SW STE 7, STE 15, HUNTSVILLE, AL 35801-5057
(256) 883-0505
(256) 883-0046
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1198
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1198
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
900821
AL

Other

Enumeration date
10/01/2013
Last updated
10/31/2014
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