Provider Demographics
NPI:1760426985
Name:PULMONARY CARE INC
Entity Type:Organization
Organization Name:PULMONARY CARE INC
Other - Org Name:CARE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-232-2001
Mailing Address - Street 1:2 HARVEY ST NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-5122
Mailing Address - Country:US
Mailing Address - Phone:706-232-2001
Mailing Address - Fax:706-232-0082
Practice Address - Street 1:2 HARVEY ST NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-5122
Practice Address - Country:US
Practice Address - Phone:706-232-2001
Practice Address - Fax:706-232-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002817332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000219018AMedicaid
GA0471810001Medicare ID - Type UnspecifiedPROVIDER #