Organization
DURABLE MEDICAL EQUIPMENT SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN M PRICE (CEO)
(601) 249-5500
Entity
Organization
Contact information
Practice address
865 E BROAD ST, MONTICELLO, MS 39654-7711
(601) 587-0422
(601) 587-0423
Mailing address
865 E BROAD ST, MONTICELLO, MS 39654-7711
(601) 587-0422
(601) 587-0423
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04854364
—
MS
01
—
6604920001
MEDICARE PTAN
MS
Enumeration date
07/25/2011
Last updated
04/10/2012
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