Organization
ALTAMAHA DME, INC
Active
Organization
ALTAMAHA DME, INC
Active
Other names
Coastal Medical Equipment & Uniforms
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L BRAKE (PRESIDENT)
(912) 427-6600
Entity
Organization
Contact information
Practice address
3000 ALTAMA AVE, BRUNSWICK, GA 31520-4607
(912) 265-7500
(912) 265-7510
Mailing address
477 S 1ST ST, JESUP, GA 31545-1130
(912) 427-6600
(912) 427-8003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
004501
GA
Other
Enumeration date
02/11/2010
Last updated
01/25/2019
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