Organization
C & G MEDICAL SUPPLY LLC
Active
Organization
C & G MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA COAXUM (AUTHORIZED OFFICIAL)
(770) 892-1420
Entity
Organization
Contact information
Practice address
120 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 892-1420
Mailing address
120 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 892-1420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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