Provider Demographics
NPI:1558562785
Name:TOTAL CUSTOMS
Entity Type:Organization
Organization Name:TOTAL CUSTOMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:F
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-245-1010
Mailing Address - Street 1:1516 GARDNER BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-2802
Mailing Address - Country:US
Mailing Address - Phone:662-245-1010
Mailing Address - Fax:662-245-1515
Practice Address - Street 1:1516 GARDNER BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-2802
Practice Address - Country:US
Practice Address - Phone:662-245-1010
Practice Address - Fax:662-245-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies