Organization
SOUTHERN MEDICAL EQUIPMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI TUTTLE PTA (PRESIDENT)
(601) 353-0072
Entity
Organization
Contact information
Practice address
1054 GREYMONT AVE, JACKSON, MS 39202-2718
(601) 353-0072
(601) 353-6151
Mailing address
1054 GREYMONT AVE, JACKSON, MS 39202-2718
(601) 353-0072
(601) 353-6151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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