Organization
STAN'S MEDICAL & RESPIRATORY EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN SMITH (PRESIDENT)
(912) 366-8777
Entity
Organization
Contact information
Practice address
438 W PARKER ST, BAXLEY, GA 31513-0649
(912) 366-8777
(912) 367-1132
Mailing address
438 W PARKER ST, BAXLEY, GA 31513-0649
(912) 366-8777
(912) 367-1132
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00888005A
—
GA
Enumeration date
07/05/2006
Last updated
08/22/2020
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