MEDICARE: ARE MEDICAL, INC

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

General Provider Information

NPI Number	:	1770806648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARE MEDICAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 3266
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31604-3266
Country	:	US
Telephone Number	:	229-242-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	5109 NORTHWIND BLVD
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31605-7674
Country	:	US
Telephone Number	:	229-242-2114
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. GINA FENDER
Credential	:
Telephone Number	:	229-242-2114

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	03/08/2010

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