Organization
SPECIALTY MEDICAL SUPPLY OF MISSISSIPPI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTON AVERY BIGGS JR. (PRESIDENT)
(601) 892-0360
Entity
Organization
Contact information
Practice address
103A E GEORGETOWN ST, CRYSTAL SPRINGS, MS 39059-2777
(601) 892-0360
(601) 892-6055
Mailing address
103A E GEORGETOWN ST, CRYSTAL SPRINGS, MS 39059-2777
(601) 892-0360
(601) 892-6055
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440808
—
MS
Enumeration date
11/14/2005
Last updated
08/22/2020
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