OrganizationActive
Ideal Dme Inc
NPI 1114965183 · Durable Medical Equipment & Medical Supplies · Lyons, GA
Provider details
- NPI number
- 1114965183
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Donald Wilson, Secretary(478) 237-3609
Specialties & taxonomies
Suppliers
Practice location
160a S Victory Dr
Lyons, GA 30436-1444
Phone: (912) 526-8531
Fax: (912) 526-0248
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1128
Swainsboro, GA 30401-1128
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.