Organization
RUTLAND MEDICAL SUPPLY
Active
Organization
RUTLAND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL S HERRINGTON (OWNER)
(912) 568-7414
Entity
Organization
Contact information
Practice address
3035 HARTLEY BRIDGE ROAD, SUITE 2, MACON, GA 31216
(478) 781-1051
(478) 781-6659
Mailing address
3035 HARTLEY BRIDGE ROAD, SUITE 2, MACON, GA 31216
(478) 781-1051
(478) 781-6659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE008591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00941333A
—
GA
Enumeration date
11/28/2006
Last updated
08/22/2020
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