Rutland Medical Supply
Durable Medical Equipment & Medical Supplies in Macon, GA. Organization (NPI-2).
NPI number1013083336
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1013083336
- Entity type
- Organization (NPI-2)
- Legal business name
- Rutland Medical Supply
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE008591 | GA | Yes |
Practice location
3035 Hartley Bridge RoadSuite 2
Macon, GA 31216
Phone 478-781-1051 · Fax 478-781-6659
Mailing address
3035 Hartley Bridge RoadSuite 2
Macon, GA 31216
Phone 478-781-1051 · Fax 478-781-6659
Authorized official
Mitchell S Herrington
Owner
9125687414
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