MEDICARE: GEORGIA-CAROLINA MOBILITY, INC.

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1487745261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA-CAROLINA MOBILITY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1249
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-1249
Country	:	US
Telephone Number	:	706-228-7977
Fax Number	:	706-228-1977

Provider Business Practice Location Address
First Line	:	4405 EVANS TO LOCKS RD
Second Line	:	SUITE A
City	:	EVANS
State	:	GA
Zip	:	30809-3603
Country	:	US
Telephone Number	:	706-228-7977
Fax Number	:	706-228-1977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEPHEN TODD CURRY
Credential	:
Telephone Number	:	706-228-7977

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/22/2020

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