Organization
PD-UWEAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N CONNER (MEMBER/OWNER)
(770) 354-0539
Entity
Organization
Contact information
Practice address
1960 OAKWOOD DR, STOCKBRIDGE, GA 30281-5061
(770) 354-0539
Mailing address
PO BOX 819, STOCKBRIDGE, GA 30281-0819
(770) 354-0539
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
02/26/2013
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