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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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