Organization
IDEAL DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E WILSON RPH (SECRETARY)
(478) 237-3609
Entity
Organization
Contact information
Practice address
160A S VICTORY DR, LYONS, GA 30436-1444
(912) 526-8531
(912) 526-0248
Mailing address
PO BOX 1128, SWAINSBORO, GA 30401-1128
(478) 237-3609
(478) 237-3609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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