Organization
GOLDEN AGE INC
Active
Other names
DME Supplier
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA WATKINS (ADMINISTRATOR)
(662) 453-6323
Entity
Organization
Contact information
Practice address
2901 HIGHWAY 82 E, GREENWOOD, MS 38930-6072
(662) 453-6323
(662) 455-9686
Mailing address
2901 HWY 82 E, GREENWOOD, MS 38930-6072
(662) 453-6323
(662) 455-9686
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440264
—
MS
Enumeration date
09/21/2005
Last updated
01/20/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up