Organization
NATIONWIDE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA K WILLIS (PRESIDENT)
(470) 275-5358
Entity
Organization
Contact information
Practice address
2140 MCGEE RD, SUITE C520, SNELLVILLE, GA 30078-2980
(470) 275-5358
Mailing address
2140 MCGEE RD, SUITE C520, SNELLVILLE, GA 30078-2980
(470) 275-5358
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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