Organization
DJ TINY RIDERWHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY L THOMPSON SR. (CEO)
(770) 374-4088
Entity
Organization
Contact information
Practice address
622 WOODSTONE RD, LITHONIA, GA 30058-5947
(770) 374-4088
Mailing address
622 WOODSTONE RD, LITHONIA, GA 30058-5947
(770) 374-4088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
10/28/2008
Last updated
07/21/2022
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