Organization Name: | FOUR C, LLC |
NPI Number: | 1669468294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANNA H COBB (OWNER) |
Mailing Address: | 207 W Geer St Colquitt |
State: | GA US |
Postal Code: | 398373533 |
Phone Number: | 2297583316 |
Fax Number: | 2297586343 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHRE004475 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
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 |