NPI 1033343603

Blackwater Medical LLC

Organisation Durable Medical Equipment & Medical Supplies Hattiesburg, MS

Practice location

Address: 1 Lincoln Pkwy Suite #305, Hattiesburg, MS 39402-3262
Phone: (601) 264-0059
Fax: (866) 691-3186

Authorised official

Name: James F Collins
Title: President
Phone: (601) 264-0059

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Mississippi →

Registry record

NPI: 1033343603
Entity type: Organization
NPI issued: 11 May 2009
Record last updated: 11 May 2009

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.