Provider Demographics
NPI:1194148577
Name:MYERS DME SUPLLIES
Entity type:Organization
Organization Name:MYERS DME SUPLLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-341-7187
Mailing Address - Street 1:2304 ALABAMA AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-2728
Mailing Address - Country:US
Mailing Address - Phone:912-341-7187
Mailing Address - Fax:912-341-7187
Practice Address - Street 1:2304 ALABAMA AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-2728
Practice Address - Country:US
Practice Address - Phone:912-341-7187
Practice Address - Fax:912-341-7187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies