Organization
MEDSTAR HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIDES KORAN WASHINGTON (OWNER CEO)
(404) 405-8657
Entity
Organization
Contact information
Practice address
906 SANDTOWN ROAD, WASHINGTON, GA 30673
(706) 285-2663
(706) 285-2660
Mailing address
906 SANDTOWN ROAD, WASHINGTON, GA 30673
(706) 285-2663
(706) 285-2660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
11/26/2007
About Stedi
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