Organization
DIRECT MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A MCCAY (OWNER / PARTNER)
(601) 919-1800
Entity
Organization
Contact information
Practice address
105 SPANN DR, SUITE D, BRANDON, MS 39047-8752
(601) 919-1800
(601) 919-0974
Mailing address
105 SPANN DR, SUITE D, BRANDON, MS 39047-8752
(601) 919-1800
(601) 919-0974
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00576530
—
MS
Enumeration date
11/01/2006
Last updated
12/20/2007
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