MEDICARE: J N C ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1003085994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J N C ENTERPRISES

Provider Business Mailing Address
First Line	:	1129 13TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2248
Country	:	US
Telephone Number	:	706-660-8877
Fax Number	:	706-660-8877

Provider Business Practice Location Address
First Line	:	1129 13TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2248
Country	:	US
Telephone Number	:	706-660-8877
Fax Number	:	706-660-8877

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	JEAN W CANTRELL
Credential	:
Telephone Number	:	706-660-8877

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	07/01/2008

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Directions to “J N C ENTERPRISES ” Practice Location

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