Organization
IMEDEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T PAYNE II (PRESIDENT)
(850) 708-4288
Entity
Organization
Contact information
Practice address
516 OAKLINE DR, HOOVER, AL 35226-4112
(850) 708-4288
Mailing address
516 OAKLINE DR, HOOVER, AL 35226-4112
(850) 708-4288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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