OrganizationActive
Blackwater Medical LLC
NPI 1033343603 · Durable Medical Equipment & Medical Supplies · Hattiesburg, MS
Provider details
- NPI number
- 1033343603
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- James Collins, President(601) 264-0059
Specialties & taxonomies
Suppliers
Practice location
1 Lincoln Pkwy
Suite #305
Hattiesburg, MS 39402-3262
Phone: (601) 264-0059
Fax: (866) 691-3186
Approximate (ZIP-level) locationGet directions
Mailing address
1 Lincoln Pkwy
Hattiesburg, MS 39402-3262
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.