Organization
SOUTHEASTERN MEDICAL BROKERS, INC.
Active
Other names
Integrity Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BYLER ATP, RTS (VICE-PRESIDENT)
(706) 855-8988
Entity
Organization
Contact information
Practice address
4490 WASHINGTON RD STE 16, EVANS, GA 30809-5898
(706) 855-8988
(706) 855-8902
Mailing address
4490 WASHINGTON RD STE 16, EVANS, GA 30809-5898
(706) 855-8988
(706) 855-8902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52036372001
BCBS
GA
05
—
703994050B
—
GA
05
—
DE2463
—
SC
Enumeration date
10/24/2006
Last updated
09/30/2021
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