| Name: | Georgia Home Medical - Columbus. Inc |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 19 Mar 2009 (16 years ago) |
| Entity Number: | 000-319-063 |
| Register Number: | 000319063 |
| Place of Formation: | Georgia |
| Principal Address: | 1023 13TH STREETPHENIX CITY, AL 36867-4963 |
| Principal Mailing Address: | 3325 BARTLETT BLVDORLANDO, FL 32811 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366757338 | 2010-08-13 | 2021-02-11 | 3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US | 1023 13TH ST, PHENIX CITY, AL, 36867, US | |||||||||||||||||||||||||||
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| Phone | +1 407-206-0040 |
| Fax | 4072060010 |
| Phone | +1 706-257-1725 |
| Fax | 7062571939 |
Authorized person
| Name | MR. STEPHEN P. GRIGGS |
| Role | CEO, PRESIDENT |
| Phone | 4072060040 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| State | GA |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003108451A |
| State | GA |
| Name | Role |
|---|---|
| MCCOOK, CRAIG | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
