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Natchez Medical Supply, LLC

Details

Name: Natchez Medical Supply, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Withdrawn
Date of registration: 26 Sep 2006 (18 years ago) (Companies founded in September 2006)
Entity Number: 000-011-367
Register Number: 000011367
ZIP code: 36522 (Companies in Mobile, 36522)
County: Mobile
Place of Formation: Mississippi
Principal Address: 5703 GULF TECH DRIVE SOUTH, SUITE HOCEAN SPRINGS, MS 39564
Registered Office Street Address: 19095 3RD STREET SOUTH, SUITE BCITRONELLE, AL 36522

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023301272 2011-05-20 2011-05-20 19095 S 3RD ST, SUITE B, CITRONELLE, AL, 365222322, US 19095 S 3RD ST, SUITE B, CITRONELLE, AL, 365222322, US

Contacts

Phone +1 251-866-0909
Fax 2518660209

Authorized person

Name PAUL STEIN
Role MEMBER
Phone 2288755447

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1038
State AL
Is Primary Yes

Agent

Name Role
CRADDOCK, NELSON Agent

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State