Organization
FIVE STAR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS L BELCHER (PRESIDENT)
(678) 663-1501
Entity
Organization
Contact information
Practice address
203 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-2522
(678) 663-1501
Mailing address
PO BOX 725203, ATLANTA, GA 31139-2203
(678) 663-1501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
02/13/2008
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