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Organization

MIDWEST MEDICAL ENTERPRISES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG MINTON (VP OPERATIONS)
(877) 414-4260
Entity
Organization

Contact information

Practice address
2295 PARKLAKE DRIVE, SUITE 100, ATLANTA, GA 30345-2816
(877) 593-3546
(877) 593-9689
Mailing address
2295 PARKLAKE DRIVE, SUITE 100, ATLANTA, GA 30345-2816
(877) 414-4260
(877) 593-9689

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
16-00186
KS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/08/2010
Last updated
08/03/2016
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