Healthcare Provider Details

I. General information

NPI: 1528997640
Provider Name (Legal Business Name): DOUBLE RUN CREEK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 WILLIAMS RD STE C
COLUMBUS GA
31909-5629
US

IV. Provider business mailing address

3406 TOMAHAWK DR
COLUMBUS GA
31907-2058
US

V. Phone/Fax

Practice location:
  • Phone: 706-332-6333
  • Fax:
Mailing address:
  • Phone: 706-326-4430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM TORRE WORLEY
Title or Position: OWNER, MANAGING MEMBER
Credential:
Phone: 706-332-6333