Organization
CORAM DEO HOLDINGS
Active
Other names
NW Georgia Home Health and Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E GODDARD II (OWNER)
(706) 996-3838
Entity
Organization
Contact information
Practice address
412 N PARK DR, DALTON, GA 30720-2635
(706) 996-3838
Mailing address
412 N PARK DR, DALTON, GA 30720-2635
(706) 996-3838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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