Charlie Van Diviere Ltd
Durable Medical Equipment & Medical Supplies
357 Boyce Guin Rd, Tignall
Georgia, 30668-3639
706-285-2073 706-285-2076
Charlie Van Diviere Ltd is a Durable Medical Equipment & Medical Supplies in Tignall, Georgia. It is located at 357 Boyce Guin Rd, Tignall and it's customer support contact number is 706-285-2073. The authorized person of Charlie Van Diviere Ltd is Mr. Chas. L. Van Diviere Jr. who is President of this DME and his contact number is 706-285-2073. Active license number of Charlie Van Diviere Ltd is 00462393 A&B for Durable Medical Equipment & Medical Supplies in Georgia.
Charlie Van Diviere Ltd 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.
DME Supplier Details:
Charlie Van Diviere Ltd type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Charlie Van Diviere Ltd |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 357 Boyce Guin Rd, Tignall,
Georgia, 30668-3639 |
| Phone: | 706-285-2073 |
| Fax: | 706-285-2076 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Chas. L. Van Diviere Jr. |
| Position: | President |
| Contact Number: | 706-285-2073 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1962568626 |
| NPI Enumeration Date: | 28 Dec, 2006 |
| NPI Last Update On: | 06 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlie Van Diviere Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 00462393 A&B | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00462393A | Medicaid | Georgia | |
| 00462393B | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 357 Boyce Guin Rd,
Tignall, Georgia |
| Zip: | 30668-3639 |
| Phone Number: | 706-285-2073 |
| Fax Number: | 706-285-2076 |
Patients can reach Charlie Van Diviere Ltd at
357 Boyce Guin Rd, Tignall, Georgia or can
call on customer care at 706-285-2073.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.