MEDICARE: CARE AMERICAN MEDICAL

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	GA 22389	GA

General Provider Information

NPI Number	:	1235476425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AMERICAN MEDICAL

Provider Business Mailing Address
First Line	:	4776 LAMB AVE
Second Line	:
City	:	UNION POINT
State	:	GA
Zip	:	30669-1121
Country	:	US
Telephone Number	:	706-286-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	4776 LAMB AVE
Second Line	:
City	:	UNION POINT
State	:	GA
Zip	:	30669-1121
Country	:	US
Telephone Number	:	706-286-8421
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	BERNARD EBERHART
Credential	:
Telephone Number	:	706-283-8421

Provider Enumeration Date	:	01/09/2013
Last Update Date	:	01/09/2013

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Directions to “CARE AMERICAN MEDICAL ” Practice Location

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