Organization
KENNESAW MEDICAL SUPPLIES INC
Active
Other names
Mechanical Equipment Aids Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA BELOTSERKOVSKY (PRESIDENT)
(770) 422-3978
Entity
Organization
Contact information
Practice address
3055 N MAIN ST NW, KENNESAW, GA 30144-2787
(770) 422-3978
(770) 422-2612
Mailing address
3055 N MAIN ST NW, KENNESAW, GA 30144-2787
(770) 422-3978
(770) 422-2612
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
02/07/2008
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