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NPI Code Detail

MEDICARE: MEDEQUIP HEALTH CORPOPRATION

MEDICARE: MEDEQUIP HEALTH CORPOPRATION
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
1332B00000XDurable Medical Equipment & Medical Supplies023835GA

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 : 1235171042
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDEQUIP HEALTH CORPOPRATION
Provider Business Mailing Address
First Line : 2602 PEACH ORCHARD RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-2406
Country : US
Telephone Number : 706-798-3500
Fax Number : 706-798-5449
Provider Business Practice Location Address
First Line : 2602 PEACH ORCHARD RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-2406
Country : US
Telephone Number : 706-798-3500
Fax Number : 706-798-5449
Authorized Official
Title or Position : OWNER
Name : MR. BARRY BRYANT
Credential :
Telephone Number : 706-798-3500
Provider Enumeration Date : 06/13/2006
Last Update Date : 12/21/2011

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Directions to “MEDEQUIP HEALTH CORPOPRATION ” Practice Location

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