Healthcare Provider Details

I. General information

NPI: 1760392872
Provider Name (Legal Business Name): MEDICAL SUPPLIES GO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 US HIGHWAY 90 STE F
SPANISH FORT AL
36527-9480
US

IV. Provider business mailing address

1515 S UNIVERSITY BLVD
MOBILE AL
36609-2958
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-9600
  • Fax: 251-380-7308
Mailing address:
  • Phone: 251-343-9600
  • Fax: 251-380-7308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PRESTON SCOTT FULGHAM
Title or Position: MANAGER
Credential:
Phone: 251-343-9600