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Organization

PATHMEDIC

Active
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Organization

PATHMEDIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK T LOVELACE (MANAGER/PARTNER)
(404) 931-5540
Entity
Organization

Contact information

Practice address
3011 HERITAGE PL NE, SUITE B, MILLEDGEVILLE, GA 31061-7206
(478) 804-0008
(478) 804-0009
Mailing address
3011 HERITAGE PL NE, SUITE B, MILLEDGEVILLE, GA 31061-7206
(478) 804-0008
(478) 804-0009

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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