Southern Express Medical Supply, Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

SOUTHERN EXPRESS MEDICAL SUPPLY, INC

Practice address

125 Church St
Suite B
Georgiana, AL 36033

Phone

(334) 376-0003

Fax

(334) 376-5777

NPI assigned

Jul 15, 2005

Last updated

Oct 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Bruce

Title

Owner

Phone

(334) 376-0003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1265431928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "36033",
            "telephone_number": "334-376-0003",
            "fax_number": "334-376-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST",
            "address_2": "SUITE B",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "36033",
            "telephone_number": "334-376-0003",
            "fax_number": "334-376-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EXPRESS MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-376-0003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey Dean Voreis, MD

• Parenteral & Enteral Nutrition Supplies (DME) in Georgiana, AL
• Providers in Georgiana, AL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.