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Organization

THERAMED, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN S. WORLEY JR. (PRESIDENT)
(601) 713-0227
Entity
Organization

Contact information

Practice address
2016 DOUGLASS DR, JACKSON, MS 39211-6605
(601) 713-0227
(601) 713-0228
Mailing address
2016 DOUGLASS DR, JACKSON, MS 39211-6605
(601) 713-0227
(601) 713-0228

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03859 / 11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00440239
MS
Enumeration date
01/19/2006
Last updated
08/22/2020
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