| Organization Name: | ALTAMAHA DME, INC |
| NPI Number: | 1124267984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN JONES (PRESIDENT) |
| Mailing Address: | 481 Elma G Miles Pkwy Ste B Suite N1 Hinesville |
| State: | GA US |
| Postal Code: | 313134015 |
| Phone Number: | 9128773202 |
| Fax Number: | 9128773206 |
| NPI Enumeration Date: | 02/18/2009 |
| NPI Last Update Date: | 06/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |