Provider Demographics
NPI:1396361804
Name:HAMILTONDAVIS MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:HAMILTONDAVIS MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-932-1003
Mailing Address - Street 1:2001 AIRPORT RD N STE 305
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8849
Mailing Address - Country:US
Mailing Address - Phone:601-932-1003
Mailing Address - Fax:601-932-1007
Practice Address - Street 1:2001 AIRPORT RD N STE 305
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8849
Practice Address - Country:US
Practice Address - Phone:601-932-1003
Practice Address - Fax:601-932-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies