Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI Number | 1689656530 |
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| LBN Legal business name | MED-SOUTH, INC. | ||||||||||||
| Authorized official | LISA WELLS - (VICE-PRESIDENT CORPORATE COMPLIANCE) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 11/16/2005 | ||||||||||||
| Last updated | 06/08/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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