institution
Chisom Medical Group Llc.
Oxygen Equipment & Supplies (DME) in Jackson, Mississippi
NPI 1205895679

Chisom Medical Group Llc. is a Oxygen Equipment & Supplies (DME) based in Jackson, MS and is specialized in Oxygen Equipment & Supplies. Chisom Medical Group Llc. practices in Jackson, MS. The NPI Number for Chisom Medical Group Llc. is 1205895679 and holds a License No. 06365 / 11.1 (Mississippi).

The current practice location address for Chisom Medical Group Llc. is 129 E Mcdowell Rd, Jackson, MS and can be reached out via phone at 601-376-0855 and via fax at 601-376-0854.

Location: 129 E Mcdowell Rd, Jackson, MS, 39204-5719
institution
Provider Profile Details
NPI Number
1205895679
Provider Name
Chisom Medical Group Llc.
Credential
Provider Entity Type
Organization
Address
129 E Mcdowell Rd, Jackson, MS, 39204-5719
Phone Number
601-376-0855
Fax Number
601-376-0854
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00172074 05 MS
institution
Provider Business Practice Location Address Details
Address
129 E Mcdowell Rd
City
State
Zip
39204-5719
Phone Number
601-376-0855
Fax Number
601-376-0854
person
Provider Business Mailing Address Details
Address
129 E Mcdowell Rd
City
State
Zip
39204-5719
Phone Number
601-376-0855
Fax Number
601-376-0854
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
06365 / 11.1 (Mississippi)
Definition
Definition to come...
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