Organization · Type 2 NPI

Chisom Medical Group Llc.

Oxygen Equipment & Supplies (DME) · Jackson, MS

NPI number 1205895679 Active

Practice location

129 E Mcdowell Rd
Jackson, MS 39204-5719

Call (601) 376-0855 Map

Fax (601) 376-0854

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000X06365 / 11.1 (MS)

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1205895679

Chisom Medical Group Llc.'s National Provider Identifier is 1205895679, issued on Mar 22, 2006. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2020.