MEDICARE: VOLUNTEER BOARD OF UHCS RESOURCES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093135568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEER BOARD OF UHCS RESOURCES LLC

Provider Business Mailing Address
First Line	:	1350 WALTON WAY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2612
Country	:	US
Telephone Number	:	706-774-4155
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 SAINT SEBASTIAN WAY STE 205
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2652
Country	:	US
Telephone Number	:	706-774-4155
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, VOLUNTEER SERVICES
Name	:	MRS. CAROLINE THOMPSON THOMAS
Credential	:
Telephone Number	:	706-774-2208

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	04/23/2014

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