Organization · Type 2 NPI

Diabetic Shoe Source

Durable Medical Equipment & Medical Supplies · Vicksburg, MS

NPI number 1396168290 Active

Practice location

104 Mcauley Dr
Vicksburg, MS 39183-2825

Call (601) 883-3342 Map

Fax (601) 856-5955

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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.

10 other providers at this address

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About NPI 1396168290

Diabetic Shoe Source's National Provider Identifier is 1396168290, issued on Jan 28, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Vicksburg, MS. The record was last updated on Jan 28, 2014.