Organization
ATLANTIC HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER KIGHT PICKETT (CEO PRESIDENT)
(757) 420-8185
Entity
Organization
Contact information
Practice address
1720 C S PARK COURT, CHESAPEAKE, VA 23320
(757) 420-8125
(757) 420-8187
Mailing address
1720 C S PARK COURT, CHESAPEAKE, VA 23320
(757) 420-8125
(757) 420-8187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295856789
—
VA
01
—
341873
BCBS
VA
Enumeration date
04/02/2007
Last updated
09/09/2008
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