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Organization
MEDSTORE INC
Active
Organization
MEDSTORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHEMIAH TRAVIS HARVARD (CEO)
(404) 333-2968
Entity
Organization
Contact information
Practice address
217 DAVIS RD STE C, AUGUSTA, GA 30907-0954
(404) 333-2968
Mailing address
1940 LAKEWOOD TER SE, ATLANTA, GA 30315-6669
(818) 791-6725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QV0200X
VA Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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