institution
Martha Dale Kristiansen
Oxygen Equipment & Supplies (DME) in Mccomb, Mississippi
NPI 1629257084

Martha Dale Kristiansen is a Oxygen Equipment & Supplies (DME) based in Mccomb, MS and is specialized in Oxygen Equipment & Supplies. Martha Dale Kristiansen practices in Mccomb, MS. The NPI Number for Martha Dale Kristiansen is 1629257084 and holds a License No. 057128480 (Mississippi).

The current practice location address for Martha Dale Kristiansen is 1413 Aston Ave, Mccomb, MS and can be reached out via phone at 601-684-5115 and via fax at 601-684-5116. You can also correspond with Martha Dale Kristiansen through the mailing address at 1413 ASTON AVE, MCCOMB, MS - 39648-2827 (mailing address contact number: 601-684-5115).

Location: 1413 Aston Ave, Mccomb, MS, 39648-2827
institution
Provider Profile Details
NPI Number
1629257084
Provider Name
Martha Dale Kristiansen
Credential
Provider Entity Type
Organization
Address
1413 Aston Ave, Mccomb, MS, 39648-2827
Phone Number
601-684-5115
Fax Number
601-684-5116
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000 01 MS ABP
00440487 05 MS
institution
Provider Business Practice Location Address Details
Address
1413 Aston Ave
City
State
Zip
39648-2827
Phone Number
601-684-5115
Fax Number
601-684-5116
person
Provider Business Mailing Address Details
Address
1413 Aston Ave
City
State
Zip
39648-2827
Phone Number
601-684-5115
Fax Number
601-684-5116
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
057128480 (Mississippi)
Definition
Definition to come...
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