Organization
SOUTHERN MEDICAL EQUIPMENT, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LANE JONES (PRESIDENT)
(256) 739-5915
Entity
Organization
Contact information
Practice address
3002 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4002
(256) 533-4454
(256) 533-6931
Mailing address
3002 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4002
(256) 533-4454
(256) 533-6931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3888
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000103132
—
AL
01
—
51500888
BLUE CROSS OF ALABAMA
AL
Enumeration date
01/05/2007
Last updated
06/10/2020
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