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NPI Code Detail

MEDICARE: AMEDISYS GEORGIA, L.L.C

MEDICARE: AMEDISYS GEORGIA, L.L.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency025145GA

General Provider Information

NPI Number : 1548490824
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS GEORGIA, L.L.C
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 501 W OGLETHORPE HWY
Second Line : SUITE
City : HINESVILLE
State : GA
Zip : 31313-4412
Country : US
Telephone Number : 912-877-3844
Fax Number : 912-877-3850
Authorized Official
Title or Position : PRESIDENT
Name : LARRY GRAHAM
Credential :
Telephone Number : 225-292-2031
Provider Enumeration Date : 07/21/2009
Last Update Date : 07/21/2009

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