| NPI | 1467415414 |
|---|---|
| Doing Business As | HATTIESBURG MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CLAYTON E JOHNSON CEO 601-296-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 04318/11.1) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-08-16 |