Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Active
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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