OrganizationActive
Advanced Mobility Medical Equip Supply
NPI 1205990819 · Durable Medical Equipment & Medical Supplies · Dothan, AL
Provider details
- NPI number
- 1205990819
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Lawrence Ichegbo, Owner Adm Manager(334) 792-9357
Specialties & taxonomies
Suppliers
Practice location
126 South Alice Street
Suite 4
Dothan, AL 36301-1652
Phone: (334) 792-9357
Fax: (334) 792-9367
Approximate (ZIP-level) locationGet directions
Mailing address
126 South Alice Street
Dothan, AL 36301-1652
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.