Organization
ADVANTRRA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE REID (V.PRESIDENT)
(216) 214-1547
Entity
Organization
Contact information
Practice address
4707 ASHFORD DUNWOODY RD UNIT 467021, ATLANTA, GA 31146-0100
(216) 214-1547
Mailing address
3665 HOSPITAL AVE, CHAMBLEE, GA 30341
(216) 214-1547
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/23/2012
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