Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angus Lake Healthcare, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1912340829

Angus Lake Healthcare, LLC is a Durable Medical Equipment & Medical Supplies in Gordon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

242 Milledgeville Hwy
Gordon, GA 31031-3827
Phone: (229) 520-5151
Fax: (478) 628-2263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence PHRE009911 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence PHRE009911 (GA)

Record details

NPI number1912340829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Stanley — Member · (229) 520-5151
NPI enumeratedApril 10, 2013
Last updated in NPPESMay 4, 2017
Mailing addressPo Box 249, Gordon, GA 31031-0249

Other providers in Gordon