Organization Name: | FUSE TEC MEDICAL |
NPI Number: | 1033441357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES F COLLINS (PRESIDENT) |
Mailing Address: | 1 Lincoln Parkway Suite 100 Hattiesburg |
State: | MS US |
Postal Code: | 39402 |
Phone Number: | 6012640059 |
Fax Number: | 8666913186 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |