Organization
KAVSAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVIN MCGEE (CEO)
(678) 858-5922
Entity
Organization
Contact information
Practice address
1251 JULIE CT, RIVERDALE, GA 30296-2254
(678) 858-5922
(888) 789-4160
Mailing address
1251 JULIE CT, RIVERDALE, GA 30296-2254
(678) 858-5922
(888) 789-4160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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