GEORGIANA MEDICAL SUPPLY INC NPI 1023022175

NPI Information

GEORGIANA MEDICAL SUPPLY INC is a durable medical equipment medical supplies in Georgiana, AL. 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. GEORGIANA MEDICAL SUPPLY INC NPI is 1023022175. The provider is registered as an organization entity type.

The provider's business location address is:

106 CHURCH ST
GEORGIANA, AL
ZIP 36033-248
Phone: (334) 376-0260
Fax: (334) 376-9609

The provider's authorized official is Jimmy Hartin .
The authorized official title is Managing Employee and has the following contact phone number (334) 376-0260.

The CLIA number assigned to this NPI record is 01D2245699 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2020.

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:

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