Organization
BLUE DOT MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY L MORGAN (PRESIDENT)
(601) 968-0981
Entity
Organization
Contact information
Practice address
1827D SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3439
(601) 968-0981
(601) 968-0983
Mailing address
2301 LAKELAND DR, FLOWOOD, MS 39232-9549
(601) 968-0981
(601) 968-0983
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05646/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440981
—
MS
Enumeration date
01/25/2016
Last updated
01/25/2016
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