Organization
SOUTHERN RESPIRATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DETRA KAY PATE (OWNER)
(404) 285-9683
Entity
Organization
Contact information
Practice address
310 W HILL ST, THOMSON, GA 30824-2113
(404) 285-9683
Mailing address
PO BOX 417, THOMSON, GA 30824-0417
(404) 285-9683
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
02/10/2015
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