Organization
BLUE LINE MEDICAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD HATFIELD (CEO)
(404) 805-2540
Entity
Organization
Contact information
Practice address
1350 NORTHMEADOW PKWY, ROSWELL, GA 30076-5703
(404) 805-2540
Mailing address
1350 NORTHMEADOW PKWY, ROSWELL, GA 30076-5703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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