Organization
PROMED MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET K SUMRALL (OWNER)
(601) 281-5868
Entity
Organization
Contact information
Practice address
809 W GEORGETOWN ST, CRYSTAL SPRINGS, MS 39059-9474
(601) 281-5868
(662) 510-0231
Mailing address
809 W GEORGETOWN ST, CRYSTAL SPRINGS, MS 39059-9474
(601) 281-5868
(662) 510-0231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/13/2022
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