Organization Name: | TRISTATE MEDICAL SUPPLY, L.L.C. |
NPI Number: | 1407908437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH BRANDON SCARBOROUGH (MANAGING PARTNER) |
Mailing Address: | 135 S Dalton St Slocomb |
State: | AL US |
Postal Code: | 363755483 |
Phone Number: | 3348862480 |
Fax Number: | 3348869255 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |