Powerchairs Plus
Durable Medical Equipment & Medical Supplies, Customized Equipment in Eastman, GA. Organization (NPI-2).
NPI number1033370010
StatusActive
Last updated in NPPESJun 22, 2008
Details
- NPI
- 1033370010
- Entity type
- Organization (NPI-2)
- Legal business name
- Powerchairs Plus
- Organization subpart
- No
- Enumeration date
- Jun 22, 2008
- Last updated
- Jun 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 36115 | GA | Yes |
Practice location
634 Main StEastman, GA 31023-6842
Phone 478-374-3116
Mailing address
634 Main StEastman, GA 31023-6842
Phone 478-374-3116
Authorized official
Vic Bernard Mizell
Owner
4783743116
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