MEDICARE: DIAMOND MEDICAL SUPPLIES, 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	:	1780664730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	6205 ABERCORN ST
Second Line	:	SUITE 102
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5527
Country	:	US
Telephone Number	:	912-356-5944
Fax Number	:	912-356-5946

Provider Business Practice Location Address
First Line	:	6205 ABERCORN ST
Second Line	:	SUITE 102
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5527
Country	:	US
Telephone Number	:	912-356-5944
Fax Number	:	912-356-5946

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NIURKA RASCO
Credential	:
Telephone Number	:	912-356-5944

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	08/22/2020

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