Organization
PRECISION MEDICAL EQUIPMENT, LLC
Active
Organization
PRECISION MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY L KELLEY CEO (CHIEF EXECUTIVE OFFICE)
(912) 988-3171
Entity
Organization
Contact information
Practice address
138 CANAL ST STE 403, POOLER, GA 31322-4048
(912) 988-3171
(912) 348-2131
Mailing address
138 CANAL ST STE 403, POOLER, GA 31322-4048
(912) 988-3171
(912) 348-2131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
SC
01
—
054860421
GEORGIA IDENTIFICATION CARD
GA
Enumeration date
11/28/2017
Last updated
05/21/2020
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