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Organization
MOBILE MED LLC
Active
Organization
MOBILE MED LLC
Active
Parent organization
MED EMPORIUM, LLC
Other names
ROME RESPIRATORY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED EMPORIUM, LLC
Authorized official
MRS. DONNA GROCE (MANAGER)
(864) 675-1330
Entity
Organization
Contact information
Practice address
14 JOHN DAVENPORT DR NW STE 100, ROME, GA 30165-4600
(706) 235-0509
Mailing address
1247 S PLEASANTBURG DR, GREENVILLE, SC 29605-1344
(864) 675-1330
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511431717A
—
GA
Enumeration date
07/13/2006
Last updated
04/17/2017
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