Organization
MEDICS OF NORTHEAST GEORGIA, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA L COSSIO (PRESIDENT)
(706) 476-0111
Entity
Organization
Contact information
Practice address
13375 JONES ST, SUITE D, LAVONIA, GA 30553-1147
(706) 476-0111
Mailing address
1075 S MAIN ST, SUITE 450, MADISON, GA 30650-2033
(706) 476-0111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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