Provider Demographics
NPI:1356512313
Name:GEORGIA RAMPS, LLC
Entity type:Organization
Organization Name:GEORGIA RAMPS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:F
Authorized Official - Last Name:MEDDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-255-5374
Mailing Address - Street 1:20 POPE STATION DR
Mailing Address - Street 2:
Mailing Address - City:CRAWFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30630-2125
Mailing Address - Country:US
Mailing Address - Phone:706-255-5374
Mailing Address - Fax:
Practice Address - Street 1:20 POPE STATION DR
Practice Address - Street 2:
Practice Address - City:CRAWFORD
Practice Address - State:GA
Practice Address - Zip Code:30630-2125
Practice Address - Country:US
Practice Address - Phone:706-255-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMRAMP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-18
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment