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Southern Medical Supply
Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, Georgia
NPI 1114014347

Southern Medical Supply is a Durable Medical Equipment & Medical Supplies based in Fort Oglethorpe, GA. Southern Medical Supply practices in Fort Oglethorpe, GA. The NPI Number for Southern Medical Supply is 1114014347 and holds a License No. 957 (Georgia).

The current practice location address for Southern Medical Supply is 91 Crye Leike Dr, Fort Oglethorpe, GA and can be reached out via phone at 706-861-7303 and via fax at 706-861-0201.

Location: 91 Crye Leike Dr, Fort Oglethorpe, GA, 30742-0713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114014347
Provider Name
Southern Medical Supply
Credential
Provider Entity Type
Organization
Address
91 Crye Leike Dr, Fort Oglethorpe, GA, 30742-0713
Phone Number
706-861-7303
Fax Number
706-861-0201
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00434662A 05 GA
institution
Provider Business Practice Location Address Details
Address
91 Crye Leike Dr
City
Fort Oglethorpe
State
Georgia
Zip
30742-4055
Phone Number
706-861-7303
Fax Number
706-861-0201
person
Provider Business Mailing Address Details
Address
91 Crye Leike Dr
City
Fort Oglethorpe
State
Georgia
Zip
30742-4055
Phone Number
706-861-7303
Fax Number
706-861-0201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
957 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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