Organization
BAINMED LLC
Active
Organization
BAINMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERIC L BAIN (OWNER)
(912) 555-1212
Entity
Organization
Contact information
Practice address
2612 DOGWOOD AVE APT A7, THUNDERBOLT, GA 31404-3260
(912) 555-1212
(912) 555-1212
Mailing address
PO BOX 5285, SAVANNAH, GA 31414-5285
(912) 555-1212
(912) 555-1212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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