Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1770579971 |
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| LBN Legal business name | ADVANTAGE MEDICAL SUPPLY, INC. | ||||
| Authorized official | SHANE MEACHAM - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/22/2005 | ||||
| Last updated | 02/04/2016 - About 10 years ago | ||||
| Identifiers |
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