Organization
MC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN MULLINS (PRESIDENT/OWNER)
(601) 587-0173
Entity
Organization
Contact information
Practice address
55 98 PLACE BLVD, HATTIESBURG, MS 39402-8602
(601) 264-0848
(601) 264-0886
Mailing address
55 98 PLACE BLVD, HATTIESBURG, MS 39402-8602
(601) 264-0848
(601) 264-0886
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02767/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440198
—
MS
Enumeration date
10/09/2008
Last updated
10/09/2008
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