| NPI | 1093019432 |
|---|---|
| Doing Business As | MID SOUTH DIABETIC AND MEDICAL SUPPLIES, LLC. |
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE CARTER Owner 662-327-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |