Ideal Dme INC

NPI #1114965183 in Lyons, Georgia

Provider Information

NPI Number
1114965183
Entity Type
Organization
Organization Name
Ideal Dme INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 3, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
160A S VICTORY DR
City
Lyons
State
Georgia
ZIP Code
30436-1444
Phone
(912) 526-8531

Authorized Official

Name
DONALD E WILSON, RPH
Title
SECRETARY
Phone
(478) 237-3609

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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