Organization
MEDI QUIP SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD EVERITTE TOMLIN (OWNER (SOLE MEMBER))
(601) 310-4499
Entity
Organization
Contact information
Practice address
5057 HWY 42 EAST, HATTIESBURG, MS 39401
(601) 310-4499
(601) 544-8404
Mailing address
5057 HWY 42 E., HATTIESBURG, MS 39401
(601) 310-4499
(601) 544-8404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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