Organization
DME SUPPLY INC
Active
Organization
DME SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL CHARLES MAYWEATHER (PRESIDENT)
(678) 851-3257
Entity
Organization
Contact information
Practice address
1347 HIGHWAY 138 SW # 2, RIVERDALE, GA 30296-1403
(770) 991-9931
(770) 991-9931
Mailing address
6368 FOREST HAVEN LN, RIVERDALE, GA 30274-1902
(404) 664-2459
(770) 991-9931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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