Organization
AMBULATORY EQUIPMENT SERVICE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S. MCNULTY III CRT (PRESIDENT)
(601) 849-4112
Entity
Organization
Contact information
Practice address
805 3RD ST SW, MAGEE, MS 39111
(601) 849-4125
(601) 849-7523
Mailing address
PO BOX 426, MAGEE, MS 39111-0426
(601) 849-4125
(601) 849-7523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02319/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040047
—
MS
Enumeration date
05/25/2006
Last updated
03/12/2010
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