Organization
E & S MEDICAL SUPPLY, LLC
Active
Organization
E & S MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES STANLEY EZELL (PRESIDENT)
(770) 591-3050
Entity
Organization
Contact information
Practice address
1190 BUCKHEAD XING, UNIT C, WOODSTOCK, GA 30189-4253
(770) 591-3050
Mailing address
1190 BUCKHEAD XING, UNIT C, WOODSTOCK, GA 30189-4253
(770) 591-3050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000236
GA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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