Southern Comfort Medical Supply

LBN: Hair & Beauty Treatment Center
Southern Comfort Medical Supply is an health care organization with primary practice located at 524 Shartom Dr , Augusta GA 30907-4751. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Ambulatory Health Care Facilities / Health Service, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Hair & Beauty Treatment Center can be contacted via phone (706) 373-9184, or through Perrin-Sullivan, Donecia via phone (706) 373-9184.

Contact Information

Primary practice address
524 Shartom Dr Augusta GA 30907-4751
Phone: (706) 373-9184
Fax: (762) 333-8798
Website:
Map and Directions
Authorized official contact:
Name: Perrin-Sullivan, Donecia
Phone: (706) 373-9184

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X Georgia
Ambulatory Health Care Facilities / Health Service 261QH0100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1104211879
LBN Legal business name Hair & Beauty Treatment Center
DBA Doing business as Southern Comfort Medical Supply
Authorized official Perrin-Sullivan, Donecia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2015
Last updated Nov 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104211879 NPPES
Georgia Other 1548654411 NPI

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