Organization
DURAMED MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HOLGATE (PRESIDENT)
(706) 737-0500
Entity
Organization
Contact information
Practice address
1543 15 STREET, AUGUSTA, GA 30901-3459
(706) 737-0500
(706) 737-6323
Mailing address
1543 15 STREET, AUGUSTA, GA 30901-3459
(706) 737-0500
(706) 737-6323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
1003498
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
005962
GA
335E00000X
Prosthetic/Orthotic Supplier
C18145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289473A
—
GA
05
—
00289473B
—
GA
05
—
DME045
—
SC
Enumeration date
03/07/2006
Last updated
09/11/2025
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