Southern Medical Supply
Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, GA. Organization (NPI-2).
NPI number1114014347
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114014347
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Medical Supply
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 957 | GA | Yes |
Practice location
91 Crye Leike DrFort Oglethorpe, GA 30742-4055
Phone 706-861-7303 · Fax 706-861-0201
Mailing address
Po Box 5513Fort Oglethorpe, GA 30742-0713
Phone 706-861-7303 · Fax 706-861-0201
Authorized official
Donna Carroll
Office Manager
7068617303
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Durable Medical Equipment & Medical Supplies providers in Fort Oglethorpe, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.