Healthcare Provider Details

I. General information

NPI: 1235121906
Provider Name (Legal Business Name): WINTHROP DME SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MARTHA BERRY BLVD NE
ROME GA
30165-1616
US

IV. Provider business mailing address

1330 MARTHA BERRY BLVD NE
ROME GA
30165-1616
US

V. Phone/Fax

Practice location:
  • Phone: 706-290-0001
  • Fax: 706-290-9443
Mailing address:
  • Phone: 706-290-0001
  • Fax: 706-290-9443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateGA

VIII. Authorized Official

Name: MR. LAURENCE WILLIAM SZELIGA
Title or Position: PRESIDENT
Credential:
Phone: 706-290-0001