Tri-State Home Medical
NPI #1225133093 in Donalsonville, Georgia
Provider Information
- NPI Number
- 1225133093
- Entity Type
- Organization
- Organization Name
- Tri-State Home Medical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 801 N WILEY AVE
- City
- Donalsonville
- State
- Georgia
- ZIP Code
- 39845
- Phone
- (229) 524-8911
Authorized Official
- Name
- MR. JACK H MILLS SR., RPH9642 REGISTERED P
- Title
- OWNER VICE PRESIDENT
- Phone
- (229) 524-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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