Organization
MEDCARE MART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHTESHAMUL HAQUE (OWNER)
(706) 649-7676
Entity
Organization
Contact information
Practice address
1501 13TH ST, SUITE M, COLUMBUS, GA 31901-2383
(706) 649-7676
(706) 649-5497
Mailing address
1501 13TH ST, SUITE M, COLUMBUS, GA 31901-2383
(706) 649-7676
(706) 649-5497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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