Organization
HYDE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK K HYDE (DIRECT OWNER)
(205) 274-0625
Entity
Organization
Contact information
Practice address
558 HILLSIDE DR, ONEONTA, AL 35121-6708
(205) 274-0625
Mailing address
558 HILLSIDE DR, ONEONTA, AL 35121-6708
(205) 274-0625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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