Organization Name: | GEORGIANA MEDICAL SUPPLY INC |
NPI Number: | 1023022175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMY HARTIN (MANAGING EMPLOYEE) |
Mailing Address: | 106 Church St Georgiana |
State: | AL US |
Postal Code: | 360334248 |
Phone Number: | 3343760260 |
Fax Number: | 3343769609 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |