Organization
INTERFACE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY C BONNER (RESPIRATORY TECH)
(706) 315-3697
Entity
Organization
Contact information
Practice address
5701 LONDON ST, COLUMBUS, GA 31907-6847
(706) 315-3697
Mailing address
5701 LONDON ST, COLUMBUS, GA 31907-6847
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
04/10/2008
Last updated
06/19/2008
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