Organization · Type 2 NPI
Diane Raulersons Home Medical Equipment
Oxygen Equipment & Supplies (DME) · Waycross, GA
NPI number
1295862332
Active
Practice location
2019 Alice St
Waycross, GA 31501-6209
Fax (912) 338-0208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 002687 (GA) |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 002687 (GA) |
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 002687 (GA) |
Oxygen Equipment & Supplies (DME): Definition to come...
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About NPI 1295862332
Diane Raulersons Home Medical Equipment's National Provider Identifier is 1295862332, issued on Feb 27, 2007. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Waycross, GA. The record was last updated on Mar 22, 2012.