Organization
MED SOUTH SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC STEVENS (DME MANAGER)
(770) 292-9747
Entity
Organization
Contact information
Practice address
6535 SHILOH RD, SUITE C600, ALPHARETTA, GA 30005-1608
(770) 292-9747
(770) 292-9754
Mailing address
PO BOX 28126, ATLANTA, GA 30358-0126
(770) 292-9747
(770) 292-9754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
02/07/2012
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