Organization
TSG MEDIQUIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CALLAWAY (DIRECTOR OF OPERATIONS)
(832) 993-8374
Entity
Organization
Contact information
Practice address
2075 W PARK PLACE BLVD STE C, STONE MOUNTAIN, GA 30087-3542
(404) 410-9114
(404) 521-4665
Mailing address
2075 W PARK PLACE BLVD STE C, STONE MOUNTAIN, GA 30087-3542
(404) 410-9114
(404) 521-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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