Organization
MARK R. HILL
Active
Other names
Oxygen Company Home Medical Equiptment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE FREEDMAN (MANAGER)
(706) 757-3019
Entity
Organization
Contact information
Practice address
4878 HWY 441 S, NICHOLSON, GA 30565-0430
(706) 757-3019
(706) 757-3019
Mailing address
PO BOX 430, NICHOLSON, GA 30565-0430
(706) 757-3019
(706) 757-3019
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
IRS SSN
—
05
—
00697859A
—
GA
Enumeration date
02/21/2007
Last updated
08/22/2020
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