Organization
PEACHTREE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE IDA SOLOMON (PARTNER)
(912) 354-4522
Entity
Organization
Contact information
Practice address
1210 E DERENNE AVE, SAVANNAH, GA 31406-2016
(912) 354-4522
(912) 354-7727
Mailing address
1210 E DERENNE AVE, SAVANNAH, GA 31406-2016
(912) 354-4522
(912) 354-7727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145401848A
—
GA
Enumeration date
10/11/2005
Last updated
08/18/2009
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