Organization
GEORGIANA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY HARTIN (MANAGING EMPLOYEE)
(334) 376-0260
Entity
Organization
Contact information
Practice address
106 CHURCH ST, GEORGIANA, AL 36033-4248
(334) 376-0260
(334) 376-9609
Mailing address
PO BOX 132, GEORGIANA, AL 36033-0132
(334) 376-0260
(334) 376-9609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
263
AL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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