# SAVANNAH MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Savannah Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427222173
- **Authorized official:** MS. RENEE YVONNE BLOODWORTH RN (MANAGING MEMBER)
- **Authorized official phone:** (512) 376-8416

## Contact information

- **Practice address:** 402 E MARKET ST, LOCKHART, TX 78644-2808
- **Practice address phone:** (512) 398-4436
- **Practice address fax:** (512) 398-4437
- **Mailing address:** PO BOX 232, 402 EAST MARKET ST, LOCKHART, TX 78644-0232
- **Mailing address phone:** (512) 398-4436
- **Mailing address fax:** (512) 398-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0093062 | TX | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008