Healthcare Provider Details

I. General information

NPI: 1003620873
Provider Name (Legal Business Name): PULMONARY CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 JOHN MADDOX DR NW STE B
ROME GA
30165-1450
US

IV. Provider business mailing address

730 LEIGHTON AVE
ANNISTON AL
36207-5746
US

V. Phone/Fax

Practice location:
  • Phone: 706-349-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA CASH
Title or Position: COO
Credential:
Phone: 256-238-1444