Organization
CAPITOL MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET K SUMRALL (VICE PRESIDENT)
(601) 981-0120
Entity
Organization
Contact information
Practice address
2800 N STATE ST, JACKSON, MS 39216-4305
(601) 981-0120
Mailing address
2800 N STATE ST, JACKSON, MS 39216-4305
(601) 981-0120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02928111
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040033
—
MS
Enumeration date
11/15/2006
Last updated
11/08/2007
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