Organization
YOUR CHOICE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST GAINES (MEMBER)
(601) 291-2362
Entity
Organization
Contact information
Practice address
3246 MEDGAR EVERS BLVD, JACKSON, MS 39213-6842
(601) 291-2362
Mailing address
3246 MEDGAR EVERS BLVD, JACKSON, MS 39213-6842
(601) 291-2362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08160/11.1
MS
Other
Enumeration date
09/03/2009
Last updated
08/17/2011
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