Organization
OMNIMED MEDICAL SUPPLY AND EQUIPMENT L.L.C.
Active
Organization
OMNIMED MEDICAL SUPPLY AND EQUIPMENT L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGERS FULCHER GOTIER II (CEO)
(770) 648-8622
Entity
Organization
Contact information
Practice address
3113 EDINBURGH CT, CONYERS, GA 30094-6863
(770) 648-8622
Mailing address
927 COMMERCIAL ST NE, CONYERS, GA 30012-4537
(770) 648-8622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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