<Unavail>
LBN: Tds Georgia, Llc
<Unavail> is an health care organization with primary practice located at 816 Gordon Ave , Thomasville GA 31792-6611. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tds Georgia, Llc can be contacted via phone (229) 226-4201, or through Benton, Anthony Ray via phone (229) 226-4201.
Contact Information
Primary practice address
816 Gordon Ave
Thomasville GA 31792-6611
Phone: (229) 226-4201
Fax: (229) 226-4206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 000001 | Georgia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1417980426 |
|---|---|
| LBN Legal business name | Tds Georgia, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Benton, Anthony Ray PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Sep 3rd, 2026 - about last month |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417980426 | NPPES |
| Georgia | MEDICAID | 000037045A | |
| Georgia | Other | 2134358 |
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