Healthcare Provider Details

I. General information

NPI: 1730244500
Provider Name (Legal Business Name): F T INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3619 MARION PLACE
MOSS POINT MS
39563-2227
US

IV. Provider business mailing address

3619 MARION PLACE
MOSS POINT MS
39563-2227
US

V. Phone/Fax

Practice location:
  • Phone: 228-475-9221
  • Fax:
Mailing address:
  • Phone: 228-475-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. BARBARA M EASLEY
Title or Position: VICE PRES SECTY
Credential: CERTIFIED FITTER
Phone: 228-475-9221