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Organization
ON THE GO MEDICAL, LLC
Active
Organization
ON THE GO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MOORE SCHRATWIESER JR. (OWNER PRESIDENT)
(678) 738-0047
Entity
Organization
Contact information
Practice address
1310 KENNESTONE CIR, MARIETTA, GA 30066-6092
(678) 738-0047
(678) 738-0050
Mailing address
PO BOX 440127, KENNESAW, GA 30160-9503
(678) 738-0047
(678) 738-0051
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
GA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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