| NPI | 1205895679 |
|---|---|
| Doing Business As | JACKSON MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | SYLVESTER CHUKWUEMEKA OGUH President/CEO 601-454-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 06365 / 11.1) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |