| NPI | 1417966722 |
|---|---|
| Other Name | MARTHA K MCMAHAN |
| Entity Type | Organization |
| Authorized Contact | MARTHA K. MCMAHAN Owner 601-268-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 018150805) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-02-11 |