Organization
DURABLE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE A HAMILTON III (OWNER)
(228) 872-1386
Entity
Organization
Contact information
Practice address
1807 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3942
(228) 872-1386
(228) 872-1389
Mailing address
1807 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3942
(228) 872-1386
(228) 872-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08095/11.1
MS
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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