| NPI | 1659374965 |
|---|---|
| Doing Business As | MRS OF CORDELE |
| Entity Type | Organization |
| Authorized Contact | E. THOMAS RIDDLE President 229-439-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2012-05-02 |