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Organization

CRISP & ASSOCIATES III, LLC

Active
Other names
Christians Medical Equipment & Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAY WAYNE CRISP RPH (OWNER)
(678) 873-3192
Entity
Organization

Contact information

Practice address
1057 MAIN ST, SUITE C, FOREST PARK, GA 30297-1482
(404) 362-6901
(404) 362-6904
Mailing address
1057 MAIN ST, SUITE C, FOREST PARK, GA 30297-1482
(404) 362-6901
(404) 362-6904

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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