Genesis Dme, Inc.

NPI #1124347364 in Douglas, Georgia

Provider Information

NPI Number: 1124347364
Entity Type: Organization
Organization Name: Genesis Dme, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: GENESIS DME, INC.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: May 27, 2010
Last Updated: Sep 28, 2016

Practice Location

Address: 201 WESTSIDE DR
City: Douglas
State: Georgia
ZIP Code: 31533-3529
Phone: (912) 393-1250

Authorized Official

Name: MR. DONNIE L STREAT SR.
Title: CEO
Phone: (912) 285-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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