Organization
GEORGIA OXYGEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED HILL (OWNER)
(229) 423-7809
Entity
Organization
Contact information
Practice address
9 RUSSELL DR, STE 101, ELLIJAY, GA 30540-4001
(706) 515-4545
Mailing address
611 S GRANT ST, FITZGERALD, GA 31750-3315
(229) 424-0018
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00923348C
—
GA
Enumeration date
03/20/2007
Last updated
02/22/2008
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