Organization
SHUMAN HEALTHCARE OF HOMERVILLE
Active
Parent organization
SHUMAN HEALTHCARE OF WAYCROSS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHUMAN HEALTHCARE OF WAYCROSS
Authorized official
BUCKY P GOBLE (OPERATIONS MANAGER)
(912) 285-5272
Entity
Organization
Contact information
Practice address
625 S CHURCH ST, HOMERVILLE, GA 31634-3019
(912) 487-0014
Mailing address
625 S CHURCH ST, HOMERVILLE, GA 31634-3019
(912) 487-0014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000139455A
—
GA
Enumeration date
03/09/2010
Last updated
07/19/2010
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