Organization
GEORGIA OXYGEN SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F. THOMPSON RRT, CPFT, CRTT (PRESIDENT)
(478) 272-4797
Entity
Organization
Contact information
Practice address
112 ROWE ST, SUITE D, DUBLIN, GA 31021-5200
(478) 272-4797
(478) 272-2271
Mailing address
112 ROWE ST, SUITE D, DUBLIN, GA 31021-5200
(478) 272-4797
(478) 272-2271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
PHRE008253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52192361 001
PROVIDER # BLUE CROSS BLU
GA
Enumeration date
10/04/2006
Last updated
10/16/2007
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