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NPI Code Detail

MEDICARE: BENCOR MEDICAL LLC

MEDICARE: BENCOR MEDICAL 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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

General Provider Information

NPI Number : 1285611012
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCOR MEDICAL LLC
Provider Business Mailing Address
First Line : 4210 COLUMBIA RD
Second Line : BLDG 6
City : MARTINEZ
State : GA
Zip : 30907-0401
Country : US
Telephone Number : 800-620-6327
Fax Number : 706-869-7229
Provider Business Practice Location Address
First Line : 4210 COLUMBIA RD
Second Line : BLDG 6
City : MARTINEZ
State : GA
Zip : 30907-0401
Country : US
Telephone Number : 800-620-6327
Fax Number : 706-869-7229
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN R HUSS
Credential :
Telephone Number : 770-601-9199
Provider Enumeration Date : 12/22/2005
Last Update Date : 05/21/2010

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Directions to “BENCOR MEDICAL LLC ” Practice Location

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