Holly Medical Supply Company

LBN: Tabatha Taylor
Holly Medical Supply Company is an health care organization with primary practice located at 3006 Gray Hwy , Macon GA 31211-6684. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Tabatha Taylor can be contacted via phone (478) 752-3660, or through Taylor, Tabatha via phone (478) 456-6713.

Contact Information

Primary practice address
3006 Gray Hwy Macon GA 31211-6684
Phone: (478) 752-3660
Fax: (478) 752-3622
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Tabatha
Phone: (478) 456-6713

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1508990375
LBN Legal business name Tabatha Taylor
DBA Doing business as Holly Medical Supply Company
Authorized official Taylor, Tabatha
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Sep 15th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508990375 NPPES
Georgia MEDICAID 013929050A
Georgia Other 51000005

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