American Medical Systems Inc

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

NPI 1932272663 · NPPES record last updated Mar 17, 2017

Key facts

NPI
1932272663
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AMERICAN MEDICAL SYSTEMS INC
Practice address
1745 Clinton Rd
Macon, GA 31211-1721
Phone
(478) 741-3697
Fax
(478) 750-1474
NPI assigned
Nov 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Norris W Wallace III
Title
President
Phone
(478) 741-3697

National Provider Directory

Locations

1745 Clinton Rd
Macon, GA 31211
Phone (478) 741-3697

808 Gray Hwy
Macon, GA 31211
Phone (478) 741-3697

Specialties & licenses

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

Addresses

Primary practice location

1745 Clinton Rd
Macon, GA 31211-1721

Mailing address

PO Box 2827
Macon, GA 31203
Phone (478) 741-3697

Other identifiers

IdentifierTypeStateIssuer
000224892AMedicaidGA

Other providers in Macon, GA

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

Sources for this page

Verify at the official NPI Registry.