Organization
LIFE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMITH (AUTHORIZED OFFICIAL)
(678) 928-4148
Entity
Organization
Contact information
Practice address
155 WESTRIDGE PKWY STE 229, MCDONOUGH, GA 30253-3052
(678) 928-4148
Mailing address
155 WESTRIDGE PKWY STE 229, MCDONOUGH, GA 30253-3052
(678) 928-4148
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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