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Organization
MARK R. HILL
Active
Organization
MARK R. HILL
Active
Other names
Oxygen Company Home Medical Equiptment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE FREEDMAN (MANAGER)
(706) 757-3019
Entity
Organization
Contact information
Practice address
4878 HWY 441 S, NICHOLSON, GA 30565-0430
(706) 757-3019
(706) 757-3019
Mailing address
PO BOX 430, NICHOLSON, GA 30565-0430
(706) 757-3019
(706) 757-3019
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
IRS SSN
—
05
—
00697859A
—
GA
Enumeration date
02/21/2007
Last updated
08/22/2020
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