Organization
280 MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIA A LAY A.D.S. (PRESIDENT)
(205) 678-8755
Entity
Organization
Contact information
Practice address
11600 OLD HIGHWAY 280, CHELSEA, AL 35043-3000
(205) 678-8755
(888) 611-8229
Mailing address
11600 OLD HIGHWAY 280, CHELSEA, AL 35043-3000
(205) 678-8755
(888) 611-8229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
652
AL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102569
—
AL
01
—
51512689
BCBS PROVIDER NUMBER
AL
Enumeration date
10/06/2005
Last updated
06/23/2021
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