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Organization
BEWEAVEUS LLC
Active
Organization
BEWEAVEUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA PAULETTE GIBBS (OWNER)
(770) 539-5662
Entity
Organization
Contact information
Practice address
710 DACULA RD STE 4A249, DACULA, GA 30019-7061
(770) 539-5652
Mailing address
710 DACULA RD STE 4A249, DACULA, GA 30019-7061
(770) 539-5652
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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