Organization
JASPER MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE LEE TYREE (OWNER)
(205) 295-0044
Entity
Organization
Contact information
Practice address
4330 HIGHWAY 78 E, SUITE 103, JASPER, AL 35501-8905
(205) 295-0044
(205) 295-0028
Mailing address
4330 HIGHWAY 78 E, SUITE 103, JASPER, AL 35501-8905
(205) 295-0044
(205) 295-0028
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
060172
AL
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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