Southern Express Medical Supply, Inc in Georgiana - Parenteral & Enteral Nutrition

Southern Express Medical Supply, Inc - NPI 1265431928

Southern Express Medical Supply, Inc is a Parenteral & Enteral Nutrition in Georgiana, Alabama. Southern Express Medical Supply, Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Southern Express Medical Supply, Inc is 1265431928. The last update date is 2015-10-12.

Southern Express Medical Supply, Inc's current location address is Po Box 710, Georgiana, Alabama. You can contact this provider via phone number 3343760003 and fax number 3343765777. The mailing address for Southern Express Medical Supply, Inc is Po Box 710, Georgiana, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Express Medical Supply, Inc
Address Po Box 710, Georgiana, Alabama
Phone Number 3343760003
Fax Number 3343765777
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bruce Michael
Telephone Number 3343760003

NPI Number Detail

NPI Number 1265431928
Provider Enumeration Date 2005-07-15
Last Updated Date 2015-10-12

Provider Mailing Address Detail

Address Po Box 710
City Georgiana
State Alabama (AL)
Post Code 36033
Phone Number 3343760003
Fax Number 3343765777

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51077252 AL BCBS PROVIDER NUMBER
305157 AL HEALTH INS CORP OF AL
77252 AL --

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FAQs about Southern Express Medical Supply, Inc

What is the unique provider identifier assigned to Southern Express Medical Supply, Inc?

The Southern Express Medical Supply, Inc has been issued the NPI (National Provider Identifier) 1265431928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Southern Express Medical Supply, Inc is located?

The Southern Express Medical Supply, Inc is situated at the following address: Po Box 710, Georgiana, AL, 36033.

What is Southern Express Medical Supply, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southern Express Medical Supply, Inc's area of specialization is Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this field of practice is 332Bp3500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1265431928 to Southern Express Medical Supply, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1265431928 to Southern Express Medical Supply, Inc on 2005-07-15.

When was the information related to Southern Express Medical Supply, Inc most recently updated or refreshed?

The details pertaining to the Southern Express Medical Supply, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-10-12.

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