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Contact Information

ALTAMAHA DME, INC
477 SOUTH FIRST STREET
JESUP, GA31545
 Phone: 912-427-6600
 Fax: 912-427-8003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ALTAMAHA DME, INC

NPI # 1013990134
LBN Legal business name ALTAMAHA DME, INC
Authorized official TERRI BRAKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2005
Last updated 03/09/2026 - About 3 months ago
Identifiers
GA License # 000001538
GA Medicaid 000577167A
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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