Organization
BARNES DRUG STORES OF VALDOSTA, INC
Active
Organization
BARNES DRUG STORES OF VALDOSTA, INC
Active
Other names
Barnes Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BARNES IV (OWNER AND CEO)
(229) 245-6039
Entity
Organization
Contact information
Practice address
2875 KNIGHT AVE, WAYCROSS, GA 31503-9555
(912) 284-9191
(912) 285-4567
Mailing address
PO BOX 1187, VALDOSTA, GA 31603-1187
(229) 245-6039
(888) 276-7881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021645F
—
GA
Enumeration date
04/25/2007
Last updated
06/27/2019
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