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TABATHA TAYLOR NPI 1508990375


NPI Information

NPI: 1508990375
Provider Name: TABATHA TAYLOR

Doing Business As: HOLLY MEDICAL SUPPLY COMPANY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3006 GRAY HWY
MACON, GA
ZIP 31211
Phone: (478) 752-3660
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TABATHA TAYLOR is a durable medical equipment medical supplies in Macon, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TABATHA TAYLOR NPI is 1508990375. The provider is registered as an organization entity type.
The provider Is Doing Business As Holly Medical Supply Company.

The provider's business location address is:

3006 GRAY HWY
MACON, GA
ZIP 31211-684
Phone: (478) 752-3660
Fax: (478) 752-3622

The provider's authorized official is Tabatha Taylor .
The authorized official title is Owner and has the following contact phone number (478) 456-6713.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013929050AMEDICAIDGEORGIA
25903640001MEDICARE NSCGEORGIA
351000005OTHERGEORGIABLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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