Organization
CAPITOL MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET K SUMRALL (INCONTINENCE MANAGER)
(601) 842-3965
Entity
Organization
Contact information
Practice address
218 W LORENZ BLVD, JACKSON, MS 39213-7058
(601) 981-1861
(601) 981-1869
Mailing address
218 W LORENZ BLVD, JACKSON, MS 39213-7058
(601) 981-1861
(601) 981-1869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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