Ideal DME Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lyons, GA

NPI 1114965183 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1114965183
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
IDEAL DME INC
Practice address
160A S Victory Dr
Lyons, GA 30436-1444
Phone
(912) 526-8531
Fax
(912) 526-0248
NPI assigned
Jun 3, 2006
Organization subpart
No

Authorized official

Name
Donald E Wilson, RPH
Title
Secretary
Phone
(478) 237-3609

National Provider Directory

Locations

160 S Victory Dr
#A
Lyons, GA 30436
Phone (912) 526-8531

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

160A S Victory Dr
Lyons, GA 30436-1444

Mailing address

PO Box 1128
Swainsboro, GA 30401-1128
Phone (478) 237-3609

Other providers in Lyons, GA

All providers in Lyons, GA · Durable Medical Equipment & Medical Supplies in Georgia

Sources for this page

Verify at the official NPI Registry.