Organization
SHUMAN HEALTHCARE OF HOMERVILLE
Active
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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