Organization Active NPI

Guldmann Southeast

  • Customized Equipment (DME)
  • Monroe, GA
National Provider Identifier
1578733291
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GULDMANN SOUTHEAST
Practice address
2040 Mount Vernon Rd NW
Monroe, GA 30656-4360
Phone
(770) 207-9547
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Durand Hildred Moon
Title
President
Phone
(770) 207-9547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2040 Mount Vernon Rd NW
Monroe, GA 30656-4360

Mailing address

2040 Mount Vernon Rd NW
Monroe, GA 30656-4360
Phone (770) 207-9547

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1578733291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MOUNT VERNON RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564360",
            "telephone_number": "770-207-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MOUNT VERNON RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564360",
            "telephone_number": "770-207-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULDMANN SOUTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "DURAND",
        "authorized_official_middle_name": "HILDRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-207-9547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.