Organization Name: | MED-SOUTH, INC. |
NPI Number: | 1073797668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEWART PACE (SR VICE PRESIDENT OF CORP. DEV.) |
Mailing Address: | 208 W Front St Evergreen |
State: | AL US |
Postal Code: | 364012815 |
Phone Number: | 2515782979 |
Fax Number: | 2515785316 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 080249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |