Organization · Type 2 NPI
Charlie Van Diviere Ltd
Durable Medical Equipment & Medical Supplies · Tignall, GA
NPI number
1962568626
Active
Practice location
357 Boyce Guin Rd
Tignall, GA 30668-3639
Fax (706) 285-2076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 00462393 A&B (GA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Another provider at this address
About NPI 1962568626
Charlie Van Diviere Ltd's National Provider Identifier is 1962568626, issued on Dec 28, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Tignall, GA. The record was last updated on Aug 6, 2008.