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Organization

HI-TECH HEALTHCARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY TODD TYSON BS,RRT (PRESIDENT)
(770) 449-6785
Entity
Organization

Contact information

Practice address
1233 HIGHWAY 54 W, SUITE 1, FAYETTEVILLE, GA 30214-4542
(770) 460-7744
(770) 460-7864
Mailing address
1805 SHACKLEFORD CT, SUITE 100, NORCROSS, GA 30093-2924
(770) 449-6785
(770) 449-0648

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
333600000X
Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00428678D
GA
Enumeration date
08/08/2006
Last updated
09/27/2011
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