Organization
MAGNOLIA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOYD (OWNER)
(888) 407-2823
Entity
Organization
Contact information
Practice address
1410 14TH ST STE B, MERIDIAN, MS 39301-4202
(888) 407-2823
(888) 435-9197
Mailing address
1410 14TH ST STE B, MERIDIAN, MS 39301-4202
(888) 407-2823
(888) 435-9197
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
01/11/2022
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