NPI 1124465810

M-D Medical Services, INC.

Organisation Parenteral & Enteral Nutrition Supplies (DME) Brandon, MS

Practice location

Address: 105 Spann Dr STE a, Brandon, MS 39047-8810
Phone: (601) 919-9196
Fax: (601) 919-0609

Authorised official

Name: Wade Ward
Title: President
Phone: (601) 919-9196

Registered specialties

Parenteral & Enteral Nutrition Supplies (DME) Primary

Suppliers Taxonomy 332BP3500X Licence 0000001106 (TN)

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Registry record

NPI: 1124465810
Entity type: Organization
NPI issued: 4 Jun 2013
Record last updated: 27 May 2015

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.