Organization
MARION MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS MARSHALL (OWNER)
(504) 220-8308
Entity
Organization
Contact information
Practice address
505 S. HIGH SCHOOL AVE, SUITE A, LA PLACE, LA 70069
(504) 220-8308
(985) 651-4440
Mailing address
PO BOX 502, COLUMBIA, MS 39429-0502
(504) 220-8308
(985) 651-4440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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