Organization
GEORGIA MEDICAL SUPPLY OF RICHLAND , INC
Active
Organization
GEORGIA MEDICAL SUPPLY OF RICHLAND , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE BLAKE DORCEY (PRESIDENT)
(205) 566-1674
Entity
Organization
Contact information
Practice address
4454 WARM SPRINGS RD STE D3, COLUMBUS, GA 31909-5992
(229) 887-0039
(229) 887-0040
Mailing address
PO BOX 550309, BIRMINGHAM, AL 35255-0309
(205) 566-1674
(205) 278-6900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000713732A
—
GA
05
—
009702530
—
AL
Enumeration date
12/13/2006
Last updated
09/10/2020
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