Organization
MEDIGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY D MOSS RN (MANAGING MEMBER)
(601) 622-5499
Entity
Organization
Contact information
Practice address
782 N WEST ST, JACKSON, MS 39202-3017
(601) 622-5499
(601) 352-8452
Mailing address
121 QUAIL HOLW, CANTON, MS 39046-9485
(601) 622-5499
(601) 352-8452
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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