BLACKWATER MEDICAL LLC

HATTIESBURG, MS
NPI1033343603
Entity TypeOrganization
Authorized ContactJAMES F COLLINS
President
601-264-0059
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2009-05-11
Last Update Date2009-05-11
Business Address
BLACKWATER MEDICAL LLC
1 LINCOLN PKWY SUITE #305
HATTIESBURG, MS 39402-3262
Phone number: 601-264-0059
Mailing Address
BLACKWATER MEDICAL LLC
1 LINCOLN PKWY SUITE #305
HATTIESBURG, MS 39402-3262
Phone number: 601-264-0059