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Organization
MINT MEDICAL SUPPLIES LLC
Active
Organization
MINT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM OLIVER HANSFORD (OWNER)
(678) 365-1379
Entity
Organization
Contact information
Practice address
220 BAUMGARD WAY, LOCUST GROVE, GA 30248-4473
(678) 365-1379
Mailing address
220 BAUMGARD WAY, LOCUST GROVE, GA 30248-4473
(678) 365-1379
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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