Organization
SUMMIT SOUTH DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CUBBEDGE (OWNER)
(225) 256-6456
Entity
Organization
Contact information
Practice address
9357 INTERLINE AVE STE 205, BATON ROUGE, LA 70809-1910
(225) 256-6456
(225) 256-6457
Mailing address
9357 INTERLINE AVE STE 205, BATON ROUGE, LA 70809-1910
(225) 256-6456
(504) 303-4061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/19/2024
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