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Charlie Van Diviere Ltd
Durable Medical Equipment & Medical Supplies in Tignall, Georgia
NPI 1962568626

Charlie Van Diviere Ltd is a Durable Medical Equipment & Medical Supplies based in Tignall, GA. Charlie Van Diviere Ltd practices in Tignall, GA. The NPI Number for Charlie Van Diviere Ltd is 1962568626 and holds a License No. 00462393 A&B (Georgia).

The current practice location address for Charlie Van Diviere Ltd is 357 Boyce Guin Rd, Tignall, GA and can be reached out via phone at 706-285-2073 and via fax at 706-285-2076.

Location: 357 Boyce Guin Rd, Tignall, GA, 30668-3639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962568626
Provider Name
Charlie Van Diviere Ltd
Credential
Provider Entity Type
Organization
Address
357 Boyce Guin Rd, Tignall, GA, 30668-3639
Phone Number
706-285-2073
Fax Number
706-285-2076
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00462393A 05 GA
00462393B 05 GA
institution
Provider Business Practice Location Address Details
Address
357 Boyce Guin Rd
City
Tignall
State
Georgia
Zip
30668-3639
Phone Number
706-285-2073
Fax Number
706-285-2076
person
Provider Business Mailing Address Details
Address
357 Boyce Guin Rd
City
Tignall
State
Georgia
Zip
30668-3639
Phone Number
706-285-2073
Fax Number
706-285-2076
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
00462393 A&B (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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