# PD-UWEAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083874093
- **Authorized official:** MARY N CONNER (MEMBER/OWNER)
- **Authorized official phone:** (770) 354-0539

## Contact information

- **Practice address:** 1960 OAKWOOD DR, STOCKBRIDGE, GA 30281-5061
- **Practice address phone:** (770) 354-0539
- **Mailing address:** PO BOX 819, STOCKBRIDGE, GA 30281-0819
- **Mailing address phone:** (770) 354-0539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 02/26/2013