Organization
USA MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE B CASSELS (PRESIDENT)
(706) 798-7950
Entity
Organization
Contact information
Practice address
3316 PERKINS RD, AUGUSTA, GA 30906-3814
(706) 798-7950
(706) 798-7656
Mailing address
3316 PERKINS RD, AUGUSTA, GA 30906-3814
(706) 798-7950
(706) 798-7656
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771669A
—
GA
01
—
074Q2US
BCBS OF MINNESOTA
MN
05
—
4582357
—
TN
01
—
52779151
BCBS OF GA
GA
05
—
7703320
—
NC
01
—
82-00264
UHC TEXAS
TX
01
—
A0000
BCBS OF FLORIDA
FL
05
—
DME780
—
SC
Enumeration date
07/14/2005
Last updated
08/22/2020
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