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Organization

MILLEN HOME CARE MEDICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEYWOOD KYLE GAY MD (OWNER)
(478) 982-1999
Entity
Organization

Contact information

Practice address
530 COLLEGE AVE, MILLEN, GA 30442-1602
(478) 982-1999
(478) 982-0031
Mailing address
530 COLLEGE AVE, MILLEN, GA 30442-1602
(478) 982-1999
(478) 982-0031

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
01/28/2008
Last updated
04/30/2010
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