Organization
SOUTHERN PATIENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI MILLER (PRESIDENT)
(205) 776-8323
Entity
Organization
Contact information
Practice address
1523 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6401
(662) 680-4343
(662) 680-4345
Mailing address
104 OXMOOR RD, SUITE 140, BIRMINGHAM, AL 35209-5936
(662) 680-4343
(662) 680-4345
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05923/11.1
MS
Other
Enumeration date
07/19/2006
Last updated
09/29/2009
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