NPI 1013187079

Judy J Benton

Organisation Customized Equipment (DME) Anniston, AL

Practice location

Address: 1705 Leighton Ave, Anniston, AL 36207-3832
Phone: (256) 235-2524
Fax: (256) 236-2573
Mailing address: 1106 Heritage Ln NE, Jacksonville, AL 36265-1255

Authorised official

Name: Judy J Benton
Title: Sole Proprietor
Phone: (256) 235-2524

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence PTH1017 (AL)

Other Durable Medical Equipment & Medical Supplies providers in Alabama →

Registry record

NPI: 1013187079
Entity type: Organization
NPI issued: 6 Mar 2008
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.