Organization
HI-TECH HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY TODD TYSON BS,RRT (PRESIDENT)
(770) 449-6785
Entity
Organization
Contact information
Practice address
105 WHITEHEAD RD, SUITE B7, ATHENS, GA 30606-1554
(706) 613-7114
Mailing address
105 WHITEHEAD RD, SUITE B7, ATHENS, GA 30606-1554
(706) 613-7114
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428678C
—
GA
Enumeration date
08/08/2006
Last updated
10/28/2011
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