Organization
BRETTS SHOES AND VANITY FAIR
Active
Other names
bretts shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY BRETT BUCHANAN (OWNER)
(706) 866-9972
Entity
Organization
Contact information
Practice address
1600 MCFARLAND AVE, ROSSVILLE, GA 30741-2266
(706) 866-9972
(706) 866-9972
Mailing address
1600 MCFARLAND AVE, ROSSVILLE, GA 30741-2266
(706) 866-9972
(706) 866-9972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000065
GA
Other
Enumeration date
11/07/2006
Last updated
09/24/2009
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