Local City Search for Medical Equipment Suppliers PHYSICIAN SUPPORT ASSOCIATES PC
Medical Equipment Supplier Yellow Pages
Macon, Georgia
Provider NPI: 1013089994
Organization Information:Organization Name: PHYSICIAN SUPPORT ASSOCIATES PC
Practice Location:
1021 DAISY PARK MACON, GA 31201 US
Tel: 478-746-2842 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1021 DAISY PARK MACON, GA 31201 US
Tel: 478-746-2842 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| N | 3336C0004X | Suppliers Pharmacy | ||
| Y | 3336H0001X | Suppliers Pharmacy | GA | PHRE006546 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1140336 | 01 | |
| 000320251A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
