Xcalibur

NPI 1023366739 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1023366739
Enumeration Date 08/28/2012
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARTY RAY MARTY
Position OWNER
Phone (678) 500-9542
Fax (678) 500-9543
Practice Location
1071 HANOVER DR
MADISON GA, 30650, US
Phone (678) 500-9542
Fax (678) 500-9543
Business Location
1071 HANOVER DR
MADISON GA, 30650, US
Phone (678) 500-9542
Fax (678) 500-9543
Toxanomy
Taxonomy Code 332BC3200X
License State Georgia
License Number 20170210145
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According to our database, Xcalibur NPI is 1023366739, taxonomy code is 332BC3200X and license number is 20170210145, license state is located at Georgia. Xcalibur physically located at 1071 Hanover Dr, Madison GA, 30650. NPI Number 1033115704 has the healthcare provider type.

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1023366739 NPI number is provided on an as is basis without warranty of any kind. 1023366739 is maintained by the National Plan & Provider Enumeration System. The contents of Xcalibur are for informational purposes only.