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NPI Code Detail

MEDICARE: MID-MS MEDICAL

MEDICARE: MID-MS MEDICAL
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
1332BC3200XCustomized Equipment (DME)
2332H00000XEyewear Supplier
3332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1063224467
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-MS MEDICAL
Provider Business Mailing Address
First Line : 3304 8TH ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number : 844-225-7160
Fax Number : 386-343-7195
Provider Business Practice Location Address
First Line : 3304 8TH ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number : 844-225-7160
Fax Number : 386-343-7195
Authorized Official
Title or Position : DIRECTOR
Name : MR. RODERICK DALE SR.
Credential :
Telephone Number : 844-225-7160
Provider Enumeration Date : 01/22/2025
Last Update Date : 01/22/2025

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Directions to “MID-MS MEDICAL ” Practice Location

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