NPI 1194904540

Pansy's Post Mastectomy Boutique, INC.

Organisation Durable Medical Equipment & Medical Supplies Rome, GA

Practice location

Address: 100 Redmond Rd NW, Rome, GA 30165-1536
Phone: (706) 232-6600
Fax: (706) 232-6677
Mailing address: 100 Redmond Rd NW Suite D, Rome, GA 30165-1536

Authorised official

Name: Kenneth David Goewey
Title: Billing Manager
Phone: (706) 232-6600

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 000484 (GA)

Other Durable Medical Equipment & Medical Supplies providers in Georgia →

Registry record

NPI: 1194904540
Entity type: Organization
NPI issued: 1 Nov 2007
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.