Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Active
Other names
Phoebe Northwest Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY LOUDERMILK (VP / CFO)
(229) 312-4068
Entity
Organization
Contact information
Practice address
2336 DAWSON RD, SUITE 1100, ALBANY, GA 31707-2442
(229) 312-8726
(229) 312-8715
Mailing address
2336 DAWSON RD, SUITE 1100, ALBANY, GA 31707-2442
(229) 312-8726
(229) 312-8715
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16760
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465663749A
—
GA
Enumeration date
08/31/2006
Last updated
04/14/2009
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