Organization
1ST AMERICA HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CARPENTER (BILLING/AR MANAGER)
(229) 242-3433
Entity
Organization
Contact information
Practice address
428 NORTHSIDE DRIVE, VALDOSTA, GA 31602
(229) 242-3433
(229) 242-9244
Mailing address
428 NORTHSIDE DRIVE, VALDOSTA, GA 31602
(229) 242-3433
(229) 242-9244
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000339248B
—
GA
05
—
000339248C
—
GA
05
—
00339248B
—
GA
05
—
00339248C
—
GA
Enumeration date
06/10/2006
Last updated
07/21/2022
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