Organization
HOMETOWN MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS MARIE MALCOM (PRESIDENT)
(229) 924-5225
Entity
Organization
Contact information
Practice address
205 W LAMAR ST, AMERICUS, GA 31709-3544
(229) 924-5225
(229) 924-5006
Mailing address
205 W LAMAR ST, AMERICUS, GA 31709-3544
(229) 924-5225
(229) 924-5006
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000727328A
—
GA
05
—
000727328B
—
GA
Enumeration date
01/23/2007
Last updated
06/17/2015
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