Organization
ADVANCE MEDICAL SUPPLIES, INC.
Active
Organization
ADVANCE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S. GRAVES (PRESIDENT)
(601) 366-4244
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE, SUITE 241, JACKSON, MS 39213-7681
(601) 366-4244
Mailing address
350 W WOODROW WILSON AVE, SUITE 241, JACKSON, MS 39213-7681
(601) 366-4244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06862/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04427579
—
MS
Enumeration date
06/11/2006
Last updated
08/22/2020
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