Organization
MR L MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAFAYETTE WILLIAMS (OWNER)
(678) 626-1633
Entity
Organization
Contact information
Practice address
194 JONESBORO RD STE B4, JONESBORO, GA 30236-4817
(678) 626-1633
(470) 300-8806
Mailing address
122 N MCDONOUGH ST # 100, JONESBORO, GA 30236-3675
(404) 448-4813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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