Provider Demographics
NPI:1699849836
Name:ALTAMAHA DME
Entity Type:Organization
Organization Name:ALTAMAHA DME
Other - Org Name:JONES MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-427-6600
Mailing Address - Street 1:918 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31545-0202
Mailing Address - Country:US
Mailing Address - Phone:912-427-6600
Mailing Address - Fax:912-427-8003
Practice Address - Street 1:918 S 1ST ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31545-0202
Practice Address - Country:US
Practice Address - Phone:912-427-6600
Practice Address - Fax:912-427-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies