Organization
HERITAGE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CORKHILL (OWNER)
(954) 993-9991
Entity
Organization
Contact information
Practice address
155 WESTRIDGE PKWY STE 217, MCDONOUGH, GA 30253
(678) 782-5702
Mailing address
155 WESTRIDGE PKWY STE 218, MCDONOUGH, GA 30253-3051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/27/2020
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