Queen City Home Medical, Llc

NPI 1710923693 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1710923693
Enumeration Date 06/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name PAMELIA GALE PAMELIA
Position OWNER
Phone (229) 723-8009
Fax (229) 723-8005
Practice Location
2109 S MAIN ST
SUITE A
BLAKELY GA, 39823-2277, US
Phone (229) 723-8009
Fax (229) 723-8005
Business Location
2109 S MAIN ST
SUITE A
BLAKELY GA, 39823-2277, US
Phone (229) 723-8009
Fax (229) 723-8005
Toxanomy
Taxonomy Code 332BX2000X
License State Georgia
License Number 20015314787
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According to our database, Queen City Home Medical, Llc NPI is 1710923693, taxonomy code is 332BX2000X and license number is 20015314787, license state is located at Georgia. Queen City Home Medical, Llc physically located at 2109 S Main St, Blakely GA, 39823-2277. NPI Number 1033115704 has the healthcare provider type.

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1710923693 NPI number is provided on an as is basis without warranty of any kind. 1710923693 is maintained by the National Plan & Provider Enumeration System. The contents of Queen City Home Medical, Llc are for informational purposes only.