NPI age
5 years
Enumerated 2021-04-14
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PHDME000614 | DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE |
| 01 (GA) | 20284321254 | SALES AND USE TAX CERTIFICATE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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