Healthcare Provider Details

I. General information

NPI: 1528281128
Provider Name (Legal Business Name): AMERICAN HOMEPATIENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PLAZA AVE SUITE B
EASTMAN GA
31023-9007
US

IV. Provider business mailing address

PO BOX 532631
ATLANTA GA
30353-2631
US

V. Phone/Fax

Practice location:
  • Phone: 478-374-6664
  • Fax: 478-374-6668
Mailing address:
  • Phone: 229-257-0075
  • Fax: 229-257-0726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MISS JOHN D. GOUY
Title or Position: SR. VICE PRESIDENT, ASSIST. SEC.
Credential:
Phone: 615-221-8191