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Contact Information

STEVE BALLESTEROS
2206 CAMILLE DR
SUITE C
COLUMBUS, GA31906-1002
 Phone: 706-442-2249
 Fax: 762-208-4985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for

NPI # 1780067991
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/07/2015
Last updated 07/07/2015 - About 11 years ago
Identifiers
GA License # 131812
GA Other 474359436 TRICARE
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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