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NPI Code Detail

MEDICARE: HIGHPLAINS MEDICAL SUPPLY CO

MEDICARE: HIGHPLAINS MEDICAL SUPPLY CO
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

General Provider Information

NPI Number : 1710845490
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHPLAINS MEDICAL SUPPLY CO
Provider Business Mailing Address
First Line : 6431 SUFFEX GREEN LN
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6127
Country : US
Telephone Number : 239-272-1666
Fax Number :
Provider Business Practice Location Address
First Line : 6431 SUFFEX GREEN LN
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6127
Country : US
Telephone Number : 239-272-1666
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. JILL DAVIS
Credential : ETC
Telephone Number : 239-272-1666
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “HIGHPLAINS MEDICAL SUPPLY CO ” Practice Location

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