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Organization
MOXLEY MEDICAL PRODUCTS INC.
Active
Organization
MOXLEY MEDICAL PRODUCTS INC.
Active
Other names
Griffin Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ELLIS CLEMENTS SR. RPH (OWNER)
(770) 228-2794
Entity
Organization
Contact information
Practice address
608 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2794
(770) 233-0849
Mailing address
608 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2794
(770) 233-0849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003307392A
—
GA
01
—
PHDME000366
GEORGIA BOARD OF PHARMACY -DME LICENSE
GA
Enumeration date
02/03/2006
Last updated
06/18/2025
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