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Pansy's Post Mastectomy Boutique, Inc.
Durable Medical Equipment & Medical Supplies in Rome, Georgia
NPI 1194904540

Pansy's Post Mastectomy Boutique, Inc. is a Durable Medical Equipment & Medical Supplies based in Rome, GA. Pansy's Post Mastectomy Boutique, Inc. practices in Rome, GA. The NPI Number for Pansy's Post Mastectomy Boutique, Inc. is 1194904540 and holds a License No. 000484 (Georgia).

The current practice location address for Pansy's Post Mastectomy Boutique, Inc. is 100 Redmond Rd Nw, Rome, GA and can be reached out via phone at 706-232-6600 and via fax at 706-232-6677.

Location: 100 Redmond Rd Nw, Rome, GA, 30165-1536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194904540
Provider Name
Pansy's Post Mastectomy Boutique, Inc.
Credential
Provider Entity Type
Organization
Address
100 Redmond Rd Nw, Rome, GA, 30165-1536
Phone Number
706-232-6600
Fax Number
706-232-6677
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
585652876B 05 GA
institution
Provider Business Practice Location Address Details
Address
100 Redmond Rd Nw
City
Rome
State
Georgia
Zip
30165-1536
Phone Number
706-232-6600
Fax Number
706-232-6677
person
Provider Business Mailing Address Details
Address
100 Redmond Rd Nw
City
Rome
State
Georgia
Zip
30165-1536
Phone Number
706-232-6600
Fax Number
706-232-6677
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
000484 (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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