Georgia State Medical Supply Llc

NPI 1073872040 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1073872040
Enumeration Date 05/11/2012
Last Updated 11/20/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MALINDA MALINDA
Position OWNER
Phone (678) 974-5866
Fax (678) 974-5861
Practice Location
1841 PEACHTREE RD NE
ATLANTA GA, 30309-1524, US
Phone (678) 974-5866
Fax (678) 974-5861
Business Location
1841 PEACHTREE RD NE
ATLANTA GA, 30309-1524, US
Phone (678) 974-5866
Fax (678) 974-5861
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Georgia State Medical Supply Llc NPI is 1073872040, taxonomy code is 332B00000X Georgia State Medical Supply Llc physically located at 1841 Peachtree Rd Ne, Atlanta GA, 30309-1524. NPI Number 1033115704 has the healthcare provider type.

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1073872040 NPI number is provided on an as is basis without warranty of any kind. 1073872040 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia State Medical Supply Llc are for informational purposes only.