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Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition

Provider NPI: 1255302741

Organization Information:
Organization is not Subpart
Authorized Official:  FRANK  POWERS  CHIEF OPERATING OFFICER  615-221-8149

Practice Location:
Tel: 904-826-0400  Fax: 904-826-1044

Business Mailing Address:
PO BOX 532612  ATLANTA, GA 30353-2612 US
Tel: 229-257-0075  Fax: 229-259-0726

NPI Information:
NPI: 1255302741
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 332BX2000X





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