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NPI Code Detail

MEDICARE: AMEDISYS GEORGIA, L.L.C.

MEDICARE: AMEDISYS GEORGIA, L.L.C.
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
1251E00000XHome Health Agency11243HGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104061159
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMEDISYS GEORGIA, L.L.C.
Provider Business Mailing Address
First Line : 5959 SOUTH SHERWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 159 S COLLEGE ST
Second Line :
City : HAMILTON
State : GA
Zip : 31811-5306
Country : US
Telephone Number : 706-628-4622
Fax Number : 706-628-9159
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM BORNE
Credential :
Telephone Number : 225-292-2031
Provider Enumeration Date : 12/04/2008
Last Update Date : 07/11/2012

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Directions to “AMEDISYS GEORGIA, L.L.C. ” Practice Location

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