Organization
MAXIMUS SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY JACKSON (GENERAL MANAGER)
(912) 433-1187
Entity
Organization
Contact information
Practice address
3116 GILBERT ST, SAVANNAH, GA 31404-5318
(912) 433-1187
(912) 777-3257
Mailing address
3116 GILBERT ST, SAVANNAH, GA 31404-5318
(912) 433-1187
(912) 777-3257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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