Organization
BRUCE EYE CLINIC INC.
Active
Other names
Bruce Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANA B POTEETE (OFFICE MANAGER/BILLING)
(662) 983-2332
Entity
Organization
Contact information
Practice address
206 WEST CALHOUN STREET, BRUCE, MS 38915-0988
(662) 983-2332
(662) 983-1334
Mailing address
206 WEST CALHOUN STREET, BRUCE, MS 38915-0988
(662) 983-2332
(662) 983-1334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06321511
—
MS
Enumeration date
08/15/2006
Last updated
04/01/2008
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