Organization
HI-TECH HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GARY TODD TYSON BS,RRT (PRESIDENT)
(770) 449-6785
Entity
Organization
Contact information
Practice address
2318 E PASS RD, SUITE A, GULFPORT, MS 39507-3805
(800) 449-6785
Mailing address
1805 SHACKLEFORD CT, SUITE 100, NORCROSS, GA 30093-2924
(770) 449-6785
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428678F
—
GA
Enumeration date
08/08/2006
Last updated
06/18/2008
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