Organization
KING'S DAUGHTERS MEDICAL CENTER
Active
Parent organization
KING'S DAUGHTERS MEDICAL CENTER
Other names
King's Daughters Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING'S DAUGHTERS MEDICAL CENTER
Authorized official
NICOLAS JAMES RICCERI (BUSINESS DEVELOPMENT MANAGER)
(601) 835-9135
Entity
Organization
Contact information
Practice address
510 HIGHWAY 51 N STE B, BROOKHAVEN, MS 39601-2335
(601) 833-6111
Mailing address
510 HIGHWAY 51 N STE B, BROOKHAVEN, MS 39601-2335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
08/02/2024
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