Organization
NORFOLK SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NED O. KRONFOL M.D. (PRESIDENT)
(662) 335-4105
Entity
Organization
Contact information
Practice address
1409 E UNION ST, GREENVILLE, MS 38703-3247
(662) 335-4105
(662) 378-2879
Mailing address
PO BOX 6000, GREENVILLE, MS 38704-6000
(662) 335-4105
(662) 378-2879
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440888
—
MS
Enumeration date
10/24/2006
Last updated
05/04/2015
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