Organization
SCOTT G. LEEKA DBA ALTERNATIVE MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GLYNN LEEKA (PRERSIDENT)
(662) 895-1543
Entity
Organization
Contact information
Practice address
7139 COMMERCE DR., BLDG. C-3, OLIVE BRANCH, MS 38654
(662) 895-1543
(662) 893-5990
Mailing address
7139 COMMERCE DRIVE, BLDG. C3, OLIVE BRANCH, MS 38654
(662) 895-1543
(662) 893-5990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
006675
AR
332B00000X
Durable Medical Equipment & Medical Supplies
018222
AR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03814/ 11.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
0381411.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
0871
TN
332B00000X
Durable Medical Equipment & Medical Supplies
871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440335
—
MS
05
—
0381411.1
—
MS
01
—
128837716
NOT STATED
AR
05
—
128837716
—
AR
05
—
1750930
—
LA
01
—
4581825
NOT STATED
TN
05
—
4581825
—
TN
Enumeration date
03/02/2006
Last updated
07/30/2008
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