Organization
BLUE MARBLE MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BRYANT (OWNER)
(662) 646-0923
Entity
Organization
Contact information
Practice address
516 LINCOLN RD, B, COLUMBUS, MS 39705-2226
(662) 241-7175
Mailing address
516 LINCOLN RD, B, COLUMBUS, MS 39705-2226
(662) 241-7175
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
09/03/2014
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