Organization
PANSY'S POST MASTECTOMY BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH DAVID GOEWEY (BILLING MANAGER)
(706) 232-6600
Entity
Organization
Contact information
Practice address
100 REDMOND RD NW, ROME, GA 30165-1536
(706) 232-6600
(706) 232-6677
Mailing address
100 REDMOND RD NW, SUITE D, ROME, GA 30165-1536
(706) 232-6600
(706) 232-6677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585652876B
—
GA
Enumeration date
11/01/2007
Last updated
09/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us