Organization
SOUTHEASTERN HOME OXYGEN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY F KILLOUGH (PRESIDENT)
(706) 327-8993
Entity
Organization
Contact information
Practice address
1112 15TH ST, COLUMBUS, GA 31901-2210
(706) 327-8993
(706) 327-0254
Mailing address
1112 15TH ST, COLUMBUS, GA 31901-2210
(706) 327-8993
(706) 327-0254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00208436A
—
GA
Enumeration date
05/08/2006
Last updated
08/22/2020
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