G3 Home Medical Dba Respiratory Support Services

Organization Active NPI Durable Medical Equipment & Medical Supplies · Byrdstown, TN

NPI 1851381982 · NPPES record last updated Apr 30, 2008

Key facts

NPI
1851381982
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
0000000631 (TN)
Legal business name
G3 HOME MEDICAL DBA RESPIRATORY SUPPORT SERVICES
Practice address
30 Courthouse SQ
Byrdstown, TN 38549-4351
Phone
(931) 864-7795
Fax
(931) 864-6969
NPI assigned
Oct 28, 2005
Organization subpart
No

Authorized official

Name
Mrs. Jamie Anne Garrett
Title
Cfo/Partner
Phone
(931) 864-7795

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Certified Respiratory Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
227800000X
Durable Medical Equipment & Medical Supplies 332B00000X 0000000631 TN Yes

Addresses

Primary practice location

30 Courthouse SQ
Byrdstown, TN 38549-4351

Mailing address

30 Courthouse SQ
PO Box 267
Byrdstown, TN 38549-4351
Phone (931) 864-7795

Other identifiers

IdentifierTypeStateIssuer
4000002OtherTNBLUE CROSS BLUE SHIELD
1452525MedicaidTN

Other providers in Byrdstown, TN

All providers in Byrdstown, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.