Organization
GENESIS DME, INC.
Active
Parent organization
GENESIS DME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS DME, INC.
Authorized official
MR. DONNIE L STREAT SR. (CEO)
(912) 285-5200
Entity
Organization
Contact information
Practice address
983 S 1ST ST, JESUP, GA 31545-0331
(912) 385-2421
(912) 385-2429
Mailing address
2501 PLANT AVE, WAYCROSS, GA 31501-6046
(912) 285-5204
(912) 285-9378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150823A
—
GA
Enumeration date
05/27/2010
Last updated
11/02/2015
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