Organization
MED-SOUTH, INC.
Active
Organization
MED-SOUTH, INC.
Active
Other names
Family Medical Store, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART H PACE (SR VICE PRESIDENT OF CORPORATE DEVE)
(205) 414-7525
Entity
Organization
Contact information
Practice address
2330 US HIGHWAY 431, BOAZ, AL 35957-5905
(256) 593-0677
(256) 593-0658
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
188
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
900493
AL
Other
Enumeration date
11/16/2005
Last updated
09/11/2025
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