Provider Demographics
NPI:1205831765
Name:GEORGIA MEDICAL EQUIPMENT AND RESPIRATORY SERVICES INC
Entity Type:Organization
Organization Name:GEORGIA MEDICAL EQUIPMENT AND RESPIRATORY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUELLEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-451-5185
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31059-0670
Mailing Address - Country:US
Mailing Address - Phone:478-451-5185
Mailing Address - Fax:478-451-5187
Practice Address - Street 1:1891 N COLUMBIA ST
Practice Address - Street 2:STE 109
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2368
Practice Address - Country:US
Practice Address - Phone:478-451-5185
Practice Address - Fax:478-451-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4495510001Medicare NSC