Organization
JKB HOLDINGS, INC
Active
Other names
Jay's Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY JAY BURKS (CFO)
(706) 835-2233
Entity
Organization
Contact information
Practice address
77 WAYNE COLWELL DR, BLAIRSVILLE, GA 30512
(706) 835-2233
(706) 835-2250
Mailing address
PO BOX 2298, BLAIRSVILLE, GA 30514-2298
(706) 835-2233
(706) 835-2250
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268976147C
—
GA
05
—
268976147D
—
GA
01
—
52222767001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/23/2007
Last updated
07/11/2011
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