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Organization
GENESIS DME, INC.
Active
Organization
GENESIS DME, INC.
Active
Parent organization
GENESIS DME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS DME, INC.
Authorized official
MR. DONNIE L STREAT SR. (CEO)
(912) 285-5200
Entity
Organization
Contact information
Practice address
201 WESTSIDE DR, DOUGLAS, GA 31533-3529
(912) 393-1250
(912) 393-1248
Mailing address
2501 PLANT AVE, WAYCROSS, GA 31501-6046
(912) 285-5200
(912) 285-9378
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150824A
—
GA
Enumeration date
05/27/2010
Last updated
09/28/2016
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