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Blackwater Medical Llc
Durable Medical Equipment & Medical Supplies in Hattiesburg, Mississippi
NPI 1033343603

Blackwater Medical Llc is a Durable Medical Equipment & Medical Supplies based in Hattiesburg, MS. Blackwater Medical Llc practices in Hattiesburg, MS. The NPI Number for Blackwater Medical Llc is 1033343603 and holds a License No. (Mississippi).

The current practice location address for Blackwater Medical Llc is 1 Lincoln Pkwy, Hattiesburg, MS and can be reached out via phone at 601-264-0059 and via fax at 866-691-3186.

Location: 1 Lincoln Pkwy, Hattiesburg, MS, 39402-3262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033343603
Provider Name
Blackwater Medical Llc
Credential
Provider Entity Type
Organization
Address
1 Lincoln Pkwy, Hattiesburg, MS, 39402-3262
Phone Number
601-264-0059
Fax Number
866-691-3186
Provider Enumeration Date
05/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Lincoln Pkwy
City
Hattiesburg
State
Mississippi
Zip
39402-3262
Phone Number
601-264-0059
Fax Number
866-691-3186
person
Provider Business Mailing Address Details
Address
1 Lincoln Pkwy
City
Hattiesburg
State
Mississippi
Zip
39402-3262
Phone Number
601-264-0059
Fax Number
866-691-3186
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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