Organization
PAIN REHAB EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIMAH GILL (OWNER)
(404) 987-4168
Entity
Organization
Contact information
Practice address
220 PONCE DE LEON PL, 172, DECATUR, GA 30030-3233
(404) 987-4168
Mailing address
220 PONCE DE LEON PL, 172, DECATUR, GA 30030-3233
(404) 987-4168
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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