Organization
SHANNON PRITCHARD
Active
Other names
Holmes County Mobility Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON LEE PRITCHARD (OWNER)
(662) 653-0811
Entity
Organization
Contact information
Practice address
425 E MADISON ST, DURANT, MS 39063-3715
(662) 653-0811
(662) 653-0812
Mailing address
PO BOX 569, DURANT, MS 39063-0569
(662) 653-0811
(662) 653-0812
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03651765
—
MS
Enumeration date
01/10/2007
Last updated
07/24/2008
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