Organization
MOXLEY MEDICAL PRODUCTS INC.
Active
Other names
Griffin Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ELLIS CLEMENTS SR. RPH (OWNER)
(770) 228-2794
Entity
Organization
Contact information
Practice address
608 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2794
(770) 233-0849
Mailing address
608 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-2794
(770) 233-0849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003307392A
—
GA
01
—
PHDME000366
GEORGIA BOARD OF PHARMACY -DME LICENSE
GA
Enumeration date
02/03/2006
Last updated
06/18/2025
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