Organization
QUEEN CITY MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HAROLD BLYTHE (PRESIDENT)
(601) 693-6167
Entity
Organization
Contact information
Practice address
1423 23RD AVE, MERIDIAN, MS 39301-4024
(601) 693-6167
(601) 693-6169
Mailing address
PO BOX 1332, MERIDIAN, MS 39302-1332
(601) 693-6167
(601) 693-6169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08050855
—
MS
Enumeration date
04/02/2007
Last updated
01/08/2010
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