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Organization

MONTFORD MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD LEVESTER MONTFORD SR. (OWNER)
(478) 971-1299
Entity
Organization

Contact information

Practice address
218 TRELLIS WALK, CENTERVILLE, GA 31028-8510
(478) 971-1299
(478) 953-6879
Mailing address
PO BOX 2181, WARNER ROBINS, GA 31099-2181
(478) 971-1299
(478) 953-6879

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00546268A
GA
01
1238
LICENSE NUMBER
GA
Enumeration date
02/09/2007
Last updated
07/21/2022
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