MEDICARE: JDF CORPORATION

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	PHRE008619	GA
2	332BC3200X	Customized Equipment (DME)	PHRE008619	GA
3	332BX2000X	Oxygen Equipment & Supplies (DME)	PHRE008619	GA
4	333600000X	Pharmacy
5	3336C0003X	Community/Retail Pharmacy	PHRE008619	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2014595	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629077904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JDF CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 72148
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31708-2148
Country	:	US
Telephone Number	:	229-435-4571
Fax Number	:	229-435-4734

Provider Business Practice Location Address
First Line	:	2624 MEREDYTH DR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-0206
Country	:	US
Telephone Number	:	229-435-2328
Fax Number	:	229-435-5354

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	TRACY C ALLIGOOD
Credential	:
Telephone Number	:	229-435-4571

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/29/2024

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Directions to “JDF CORPORATION ” Practice Location

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