| NPI | 1053444968 |
|---|---|
| Doing Business As | SOUTHERN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY MULLINS Owner 304-752-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-02-02 |