Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pansy's Post Mastectomy Boutique, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1194904540

Pansy's Post Mastectomy Boutique, Inc is a Durable Medical Equipment & Medical Supplies in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Redmond Rd NW
Rome, GA 30165-1536
Phone: (706) 232-6600
Fax: (706) 232-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 000484 (GA)

Record details

NPI number1194904540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Goewey — Billing Manager · (706) 232-6600
NPI enumeratedNovember 1, 2007
Last updated in NPPESSeptember 12, 2014
Mailing address100 Redmond Rd Nw, Suite D, Rome, GA 30165-1536

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