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Contact Information

HARLEY'S ENDEAVORS, LLC
1622 MADISON AVE
TIFTON, GA31794-3756
 Phone: 229-387-8061
 Fax: 229-387-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Legal Medicine

209800000X
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for HARLEY'S ENDEAVORS, LLC

NPI Number 1003305707
LBN Legal business name HARLEY'S ENDEAVORS, LLC
Authorized official HEWATT SIMS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2018
Last updated 07/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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