Organization
CG MEDICAL, INC
Active
Other names
FAMILY HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ED COCKMAN (CO-OWNER)
(229) 244-6788
Entity
Organization
Contact information
Practice address
385 CONNELL RD, VALDOSTA, GA 31602-1471
(229) 244-6788
(229) 244-9667
Mailing address
385 CONNELL RD, VALDOSTA, GA 31602-1471
(229) 244-6788
(229) 244-9667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
8939
GA
3336H0001X
Home Infusion Therapy Pharmacy
8184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734742A
—
GA
05
—
00734742B
—
GA
Enumeration date
12/09/2005
Last updated
04/08/2008
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