Organization
AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD WYNN (DIRECTOR OF BUSINESS DEVELOPMENT)
(404) 310-0803
Entity
Organization
Contact information
Practice address
2564 PEYTON WOODS TRL SW, ATLANTA, GA 30311-2157
(404) 696-9826
(404) 696-9826
Mailing address
8202 LULLWATER CT, JONESBORO, GA 30236-3963
(404) 435-5931
(404) 696-9826
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
GA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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