Provider Demographics
NPI:1942616107
Name:DURAMED MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:DURAMED MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:BARTLETT
Authorized Official - Last Name:HOLGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-737-0500
Mailing Address - Street 1:1543 15TH ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-3459
Mailing Address - Country:US
Mailing Address - Phone:706-737-0500
Mailing Address - Fax:706-737-6323
Practice Address - Street 1:1543 15TH ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-3459
Practice Address - Country:US
Practice Address - Phone:706-737-0500
Practice Address - Fax:706-737-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies