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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