Southern Medical Supply
NPI #1114014347 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1114014347
- Entity Type
- Organization
- Organization Name
- Southern Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 91 CRYE LEIKE DR
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-4055
- Phone
- (706) 861-7303
Authorized Official
- Name
- DONNA CARROLL
- Title
- OFFICE MANAGER
- Phone
- (706) 861-7303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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