Organization
SLIIIPAP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVINESH SINGH BHAR JASWINDAR SINGH MD (CEO)
(478) 238-3552
Entity
Organization
Contact information
Practice address
1140 S JACKSON SPRINGS RD, MACON, GA 31211-1439
(478) 238-3552
Mailing address
PO BOX 13726, MACON, GA 31208-3726
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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