Organization
PRIMARY CARE MEDICAL SUPPLY OF ATLANTA LLC
Active
Other names
Primary Care Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BLAIR (MANAGER DIRECTOR)
(770) 881-8010
Entity
Organization
Contact information
Practice address
4760 HAMMERMILL RD STE 205, TUCKER, GA 30084-6612
(770) 881-8010
(770) 492-3371
Mailing address
4760 HAMMERMILL RD STE 205, TUCKER, GA 30084-6612
(770) 881-8010
(770) 492-3371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
03/08/2017
Last updated
05/26/2023
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