Organization
SOUTHEASTERN MEDICAL BROKERS, INC.
Active
Other names
Integrity Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SMITH (PRESIDENT)
(706) 855-8988
Entity
Organization
Contact information
Practice address
1001 WALTON WAY, AUGUSTA, GA 30901-2841
(706) 855-8988
(706) 855-8902
Mailing address
1001 WALTON WAY, AUGUSTA, GA 30901-2841
(706) 855-8988
(706) 855-8902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52036372002
BCBS
GA
05
—
DE2463
—
SC
Enumeration date
10/24/2006
Last updated
08/22/2020
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