Organization
MAGNOLIA MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS SANFORD (OWNER)
(601) 613-6822
Entity
Organization
Contact information
Practice address
102 CARROLLTON AVE, LEXINGTON, MS 39095-3250
(662) 834-1721
(662) 834-1721
Mailing address
102 CARROLLTON AVE, LEXINGTON, MS 39095-3250
(662) 834-1721
(662) 834-1721
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/08/2019
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