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Iceesho Bethel, RRT
Durable Medical Equipment & Medical Supplies in Jackson, Georgia
NPI 1619227576

Iceesho Bethel is a Durable Medical Equipment & Medical Supplies based in Jackson, GA. Iceesho Bethel practices in Jackson, GA and has the professional credentials of RRT. The NPI Number for Iceesho Bethel is 1619227576 and holds a License No. 7058 (Georgia).

The current practice location address for Iceesho Bethel is 310 Hickory Rd, Jackson, GA and can be reached out via phone at 706-476-4988.

Location: 310 Hickory Rd, Jackson, GA, 30233-6271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619227576
Provider Name
Iceesho Bethel
Credential
RRT
Provider Entity Type
Individual
Gender
Female
Address
310 Hickory Rd, Jackson, GA, 30233-6271
Phone Number
706-476-4988
Fax Number
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 Hickory Rd
City
Jackson
State
Georgia
Zip
30233-6271
Phone Number
706-476-4988
Fax Number
person
Provider Business Mailing Address Details
Address
310 Hickory Rd
City
Jackson
State
Georgia
Zip
30233-6271
Phone Number
706-476-4988
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
7058 (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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