Organization
CC MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIAN BATTLE (PRESIDENT)
(678) 913-6375
Entity
Organization
Contact information
Practice address
111 BOX, REDAN, GA 30074-0111
(770) 482-7755
Mailing address
6266 WINDY RIDGE TRL, LITHONIA, GA 30058-6625
(678) 913-6375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
02/27/2011
Last updated
03/10/2011
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