| Organization Name: | GENESIS DME, INC. |
| NPI Number: | 1124347364 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNIE L STREAT (CEO) |
| Mailing Address: | 201 Westside Dr Douglas |
| State: | GA US |
| Postal Code: | 315333529 |
| Phone Number: | 9123931250 |
| Fax Number: | 9123931248 |
| NPI Enumeration Date: | 05/27/2010 |
| NPI Last Update Date: | 11/10/2015 |
| 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: | |