BEACON RESPIRATORY SERVICES OF GEORGIA, INC.; NPI #1124566716

Contact Information

BEACON RESPIRATORY SERVICES OF GEORGIA, INC.

1023 W DEKALB ST
CAMDEN, SC 29020-4162

Phone: 803-572-4391
Fax: 803-701-9115
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for BEACON RESPIRATORY SERVICES OF GEORGIA, INC.

NPI # 1124566716

LBN Legal business name BEACON RESPIRATORY SERVICES OF GEORGIA, INC.

Authorized official WENDY RUSSALESI - (CCO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/03/2017

Last updated 10/13/2025 - About 8 months ago

Identifiers

Medicaid

DE3787

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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BEACON RESPIRATORY SERVICES OF GEORGIA, INC.

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for BEACON RESPIRATORY SERVICES OF GEORGIA, INC.

Reviews for BEACON RESPIRATORY SERVICES OF GEORGIA, INC.