Organization
AVRITT MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R AVRITT (PRESIDENT)
(662) 843-7007
Entity
Organization
Contact information
Practice address
909 DESOTO AVE, CLARKSDALE, MS 38614-6930
(662) 627-7702
(662) 627-7889
Mailing address
4020 HIGHWAY 8, CLEVELAND, MS 38732-8551
(662) 843-7007
(662) 843-7071
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0390111.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03970589
—
MS
Enumeration date
07/05/2006
Last updated
06/14/2012
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