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Organization
JLC MEDICAL, INC
Active
Organization
JLC MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE MITCHEL PATE (CEO)
(770) 973-9518
Entity
Organization
Contact information
Practice address
2041 KERRY CREEK DR, MARIETTA, GA 30066-4370
(770) 973-9518
(770) 973-8463
Mailing address
2041 KERRY CREEK DR, MARIETTA, GA 30066-4370
(770) 973-9518
(770) 973-8463
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2009#75736
GA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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