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GARY M. GROLEMUND DPM NPI 1811170509


NPI Information

NPI: 1811170509
Provider Name: GARY M. GROLEMUND DPM
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10 PROFESSIONAL DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 264-6150
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GARY M. GROLEMUND DPM is a durable medical equipment medical supplies in Brunswick, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GARY M. GROLEMUND DPM NPI is 1811170509. The provider is registered as an organization entity type.

The provider's business location address is:

10 PROFESSIONAL DR
BRUNSWICK, GA
ZIP 31520-774
Phone: (912) 264-6150

The provider's authorized official is Gary M Grolemund .
The authorized official title is Owner and has the following contact phone number (912) 264-6150.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 12/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesPOD000543GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10498250001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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