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NPI Code Detail

MEDICARE: GAYCO, INC.

MEDICARE: GAYCO, 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
13336L0003XLong Term Care Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies006970GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2006970OTHERGALICENSE

General Provider Information

NPI Number : 1679578678
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAYCO, INC.
Provider Business Mailing Address
First Line : 1101 HILLCREST PKWY
Second Line : STE C
City : DUBLIN
State : GA
Zip : 31021-3578
Country : US
Telephone Number : 478-272-8093
Fax Number :
Provider Business Practice Location Address
First Line : 507 INDUSTRIAL BLVD
Second Line :
City : DUBLIN
State : GA
Zip : 31021-1714
Country : US
Telephone Number : 478-353-1579
Fax Number : 877-477-2499
Authorized Official
Title or Position : CEO
Name : BENT GAY
Credential :
Telephone Number : 478-353-1579
Provider Enumeration Date : 06/16/2005
Last Update Date : 06/28/2021

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Directions to “GAYCO, INC. ” Practice Location

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