LARRY MCQUATER NPI 1861652745

NPI Information

LARRY MCQUATER is a durable medical equipment medical supplies in Jackson, MS. The provider is 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. LARRY MCQUATER NPI is 1861652745. The provider is registered as an organization entity type.
The provider Is Doing Business As Diversified Mobility.

The provider's business location address is:

240 MEADOWBROOK RD
JACKSON, MS
ZIP 39206-260
Phone: (601) 713-3366
Fax: (601) 713-3388

The provider's authorized official is Jamel Mcquater .
The authorized official title is Manager and has the following contact phone number (601) 713-3366.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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