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Organization
MEDICAL EQUIPMENT SPECIALISTS
Active
Organization
MEDICAL EQUIPMENT SPECIALISTS
Active
Other names
Motum Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK JON KOLACINSKI (CEO)
(470) 249-9869
Entity
Organization
Contact information
Practice address
380 DAHLONEGA ST STE 103, CUMMING, GA 30040-8212
(470) 253-8067
(678) 807-2998
Mailing address
5920 BOULDER BLUFF DR, CUMMING, GA 30040-1144
(470) 249-9869
(678) 807-2998
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000804504A
—
GA
Enumeration date
07/05/2005
Last updated
10/10/2024
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