Organization
WAYNE RANSOM REAVES
Active
Organization
WAYNE RANSOM REAVES
Active
Other names
HNP Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE RANSOM REAVES (OWNER)
(706) 549-2410
Entity
Organization
Contact information
Practice address
2092 PRINCE AVE, ATHENS, GA 30606-6047
(706) 549-2410
(706) 369-8968
Mailing address
PO BOX 48174, ATHENS, GA 30604-8174
(706) 549-2410
(706) 369-8968
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52070313
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/13/2007
Last updated
12/13/2007
Update your record
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