| Organization Name: | GEORGIA MEDICAL REPAIR INC |
| NPI Number: | 1275736928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LONNIE DWAYNE TAYLOR (OWNER) |
| Mailing Address: | 5918 Coca Cola Blvd Columbus |
| State: | GA US |
| Postal Code: | 319095531 |
| Phone Number: | 7065682603 |
| Fax Number: | 7065682605 |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |