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Organization

MEDIQUIP MEDICAL SUPPLIES INC OF TUCKER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN ANTHONY BURCH SR. (CEO)
(770) 270-5808
Entity
Organization

Contact information

Practice address
4404 HUGH HOWELL RD, SUITE 2100, TUCKER, GA 30084-4916
(770) 270-5808
(770) 270-5608
Mailing address
4404 HUGH HOWELL RD, SUITE 2100, TUCKER, GA 30084-4916
(770) 270-5808
(770) 270-5608

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
APPLIED FOR
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
APPLIED FOR
GA

Other

Enumeration date
10/19/2006
Last updated
09/11/2025
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