Organization
CROSSROADS MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN S. DALTON (OWNER)
(662) 286-8222
Entity
Organization
Contact information
Practice address
203 ALCORN DRIVE, CORINTH, MS 38834
(662) 286-8222
(662) 286-8333
Mailing address
203 ALCORN DRIVE, CORINTH, MS 38834
(662) 286-8222
(662) 286-8333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06937/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4582405
—
TN
Enumeration date
10/03/2006
Last updated
08/22/2020
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