Healthcare Provider Details

I. General information

NPI: 1306261540
Provider Name (Legal Business Name): AFFORDABLE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 PARK ST
THOMASTON GA
30286-3741
US

IV. Provider business mailing address

304 PARK ST
THOMASTON GA
30286-3741
US

V. Phone/Fax

Practice location:
  • Phone: 705-975-1089
  • Fax: 706-647-0151
Mailing address:
  • Phone: 705-975-1089
  • Fax: 706-647-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: PETER SMITH
Title or Position: OWNER
Credential:
Phone: 706-975-1089