Organization
TAYLORMADE HEALTH SOLUTIONS
Active
Other names
Jasper County Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DIETRICH T TAYLOR RN,CDE (LEAD CONSULTANT/OWNER)
(601) 502-5458
Entity
Organization
Contact information
Practice address
306 MAIN STREET, HEIDELBERG, MS 39439-3943
(601) 502-5458
Mailing address
PO BOX 320301, FLOWOOD, MS 39232-0301
(601) 502-5458
(877) 534-9283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/12/2021
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