Donalsonville Tri-State Home Medical LLC
NPI #1255600698 in Donalsonville, Georgia
Provider Information
- NPI Number
- 1255600698
- Entity Type
- Organization
- Organization Name
- Donalsonville Tri-State Home Medical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 14, 2011
- Last Updated
- Feb 21, 2013
Practice Location
- Address
- 801 N WILEY AVE
- City
- Donalsonville
- State
- Georgia
- ZIP Code
- 39845-1121
- Phone
- (229) 524-8911
Authorized Official
- Name
- MR. JACK H MILLS SR., RPH9642 REGISTERED P
- Title
- OWNER
- Phone
- (229) 524-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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