Organization
EDDIE TEST MEDICAL EQUIPMENT INC
Active
Organization
EDDIE TEST MEDICAL EQUIPMENT INC
Active
Other names
Eddie Test's Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JORDAN (CEO)
(706) 965-8378
Entity
Organization
Contact information
Practice address
55 GENERAL CLEBURNE ST, RINGGOLD, GA 30736-2111
(706) 965-8378
(706) 965-6672
Mailing address
55 GENERAL CLEBURNE ST, RINGGOLD, GA 30736-2111
(706) 965-8378
(706) 965-6672
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20006035684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358091B
—
GA
01
—
52173688
BLUE CROSS BLUE SHIELD GA
GA
01
—
91754
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
12/20/2005
Last updated
06/05/2026
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