Montford Medical Services

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

NPI 1205977428 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1205977428
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MONTFORD MEDICAL SERVICES
Practice address
218 Trellis Walk
Centerville, GA 31028-8510
Phone
(478) 971-1299
Fax
(478) 953-6879
NPI assigned
Feb 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Edward Levester Montford Sr.
Title
Owner
Phone
(478) 971-1299

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

218 Trellis Walk
Centerville, GA 31028-8510

Mailing address

PO Box 2181
Warner Robins, GA 31099-2181
Phone (478) 971-1299

Other identifiers

IdentifierTypeStateIssuer
1238OtherGALICENSE NUMBER
00546268AMedicaidGA

Other providers in Centerville, GA

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

Sources for this page

Verify at the official NPI Registry.