Organization
ALTAMAHA DME, INC
Active
Other names
Jones Medical Equipment, Coastal Medical Equipment & Uniforms
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L BRAKE (PRESIDENT)
(912) 427-6600
Entity
Organization
Contact information
Practice address
477 SOUTH FIRST STREET, JESUP, GA 31545
(912) 427-6600
(912) 427-8003
Mailing address
477 S 1ST ST, JESUP, GA 31545-1130
(912) 427-6600
(912) 427-8003
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
000001538
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
000001538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000577167A
—
GA
Enumeration date
11/22/2005
Last updated
03/09/2026
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