| Eze P's Medical Supply | |
|
900 Stark Road Starkville MS 39759 | |
| (662) 323-4400 | |
| (662) 323-4409 |
| Full Name | Eze P's Medical Supply |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Stark Road, Starkville, Mississippi |
| Authorized Official Name and Position | Placid M Eze (PHYSICIAN OWNER) |
| Authorized Official Contact | 6623234400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eze P's Medical Supply 900 Stark Road Starkville MS 39759 Ph: (662) 323-4400 | Eze P's Medical Supply 900 Stark Road Starkville MS 39759 Ph: (662) 323-4400 |
| NPI Number | 1780809251 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780809251 | NPI | - | NPPES |
| 09728046 | Medicaid | MS | |
| 1776696 | Medicaid | LA | |
| DB6431 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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