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Diane Raulersons Home Medical Equipment
Oxygen Equipment & Supplies (DME) in Waycross, Georgia
NPI 1295862332

Diane Raulersons Home Medical Equipment is a Oxygen Equipment & Supplies (DME) based in Waycross, GA and is specialized in Oxygen Equipment & Supplies. Diane Raulersons Home Medical Equipment practices in Waycross, GA. The NPI Number for Diane Raulersons Home Medical Equipment is 1295862332 and holds a License No. 002687 (Georgia).

The current practice location address for Diane Raulersons Home Medical Equipment is 2019 Alice St, Waycross, GA and can be reached out via phone at 912-283-4663 and via fax at 912-338-0208.

Location: 2019 Alice St, Waycross, GA, 31501-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295862332
Provider Name
Diane Raulersons Home Medical Equipment
Credential
Provider Entity Type
Organization
Address
2019 Alice St, Waycross, GA, 31501-6209
Phone Number
912-283-4663
Fax Number
912-338-0208
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00855357A 05 GA
institution
Provider Business Practice Location Address Details
Address
2019 Alice St
City
Waycross
State
Georgia
Zip
31501-6209
Phone Number
912-283-4663
Fax Number
912-338-0208
person
Provider Business Mailing Address Details
Address
2019 Alice St
City
Waycross
State
Georgia
Zip
31501-6209
Phone Number
912-283-4663
Fax Number
912-338-0208
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
002687 (Georgia)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
002687 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
002687 (Georgia)
Definition
Definition to come...
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