Organization
INSITE HOLDINGS LLC
Active
Other names
5 Star Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARQUEENA JOHNSON (MANAGING PARTNER)
(678) 683-3005
Entity
Organization
Contact information
Practice address
2000 POWERS FERRY RD, SUITE 2-10, MARIETTA, GA 30067-9476
(678) 952-6207
Mailing address
621 RED MAPLE PL, ATLANTA, GA 30349-1288
(678) 683-3005
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
123456
GA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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