Organization
MONTGOMERY MEDICAL EQUIPMENT, INC.
Active
Organization
MONTGOMERY MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P. CROWSON MT (ASCP) (COO)
(912) 583-2855
Entity
Organization
Contact information
Practice address
103 S RICHARDSON ST, MOUNT VERNON, GA 30445-2611
(912) 583-2855
(912) 583-4945
Mailing address
PO BOX 884, MOUNT VERNON, GA 30445-0884
(912) 583-2855
(912) 583-4945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
GA
333600000X
Pharmacy
PHRE008058
GA
335E00000X
Prosthetic/Orthotic Supplier
C16488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000426467A
—
GA
05
—
000426467B
—
GA
Enumeration date
06/28/2005
Last updated
06/20/2012
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