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Organization

PERFORMANCE MEDIEQUIP SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOEL WALTERS (OWNER)
(662) 719-8570
Entity
Organization

Contact information

Practice address
4060 POPPS FERRY RD, DIBERVILLE, MS 39540-2378
(662) 719-8570
Mailing address
4060 POPPS FERRY RD, DIBERVILLE, MS 39540-2378

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MS

Other

Enumeration date
07/26/2007
Last updated
07/26/2007
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform