Lavorne Blyden-green is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Jonesboro, GA. Lavorne Blyden-green practices in Jonesboro, GA. The NPI Number for Lavorne Blyden-green is 1346545662 and holds a License No. (Georgia).
The current practice location address for Lavorne Blyden-green is 7733 Town Ct, Jonesboro, GA and can be reached out via phone at 404-781-8166.
Location: 7733 Town Ct, Jonesboro, GA, 30237-2312
Provider Profile Details
NPI Number
1346545662
Provider Name
Lavorne Blyden-green
Credential
Provider Entity Type
Individual
Gender
Female
Address
7733 Town Ct, Jonesboro, GA, 30237-2312
Phone Number
404-781-8166
Fax Number
Provider Enumeration Date
01/18/2011
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
7733 Town Ct
City
State
Zip
30236-2395
Phone Number
404-781-8166
Fax Number
Provider Business Mailing Address Details
Address
7733 Town Ct
City
State
Zip
30236-2395
Phone Number
404-781-8166
Fax Number
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Suppliers
Classification
Home Delivered Meals
Speciality
-
Taxonomy
License No.
()
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
Provider's Taxonomy Details 9
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Provider's Taxonomy Details 10
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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