Organization
PAK MEDICAL, INC.
Active
Organization
PAK MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA KENNERLEY (VICE PRESIDENT)
(770) 222-6678
Entity
Organization
Contact information
Practice address
5745 WENDY BAGWELL PKWY STE 32, HIRAM, GA 30141-2885
(770) 222-6678
(770) 222-6680
Mailing address
PO BOX 1042, HIRAM, GA 30141-1042
(770) 222-6678
(770) 222-6680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/15/2010
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