Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC
Active
Other names
Phoebe Orthopedic Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY LOUDERMILK (SENIOR V.P./CHIEF FINANCIAL OFFICER)
(229) 312-4068
Entity
Organization
Contact information
Practice address
417 3RD AVE, ALBANY, GA 31702-1828
(229) 312-8600
(229) 312-8624
Mailing address
417 3RD AVE, ALBANY, GA 31702-1828
(229) 312-8600
(229) 312-8624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16760
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000628592B
—
GA
Enumeration date
09/12/2006
Last updated
04/24/2009
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