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Organization

SOUTHERN MOBILITY SPECIALISTS INC

Active
Parent organization
SOUTHERN MOBILITY SPECIALISTS, INC.
Other names
Southern Mobility Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN MOBILITY SPECIALISTS, INC.
Authorized official
REGINA LYNN GRIMES PT, C/NDT, ATP (VICE PRESIDENT)
(662) 260-4870
Entity
Organization

Contact information

Practice address
444 E PRESIDENT AVE, TUPELO, MS 38801-5500
(662) 260-4870
(662) 260-4764
Mailing address
205 COUNTY ROAD 441, HOUSTON, MS 38851-7642
(662) 448-1179
(662) 448-1189

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
01/04/2022
Last updated
06/29/2022
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