Organization
GEORGIA MEDICAL REPAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE DWAYNE TAYLOR (OWNER)
(706) 568-2603
Entity
Organization
Contact information
Practice address
5918 COCA COLA BLVD, COLUMBUS, GA 31909-5531
(706) 568-2603
(706) 568-2605
Mailing address
5918 COCA COLA BLVD, COLUMBUS, GA 31909-5531
(706) 568-2603
(706) 568-2605
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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