Organization
SHALEM MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAJI JOHN (CEO)
(770) 982-0046
Entity
Organization
Contact information
Practice address
2944 ROSEBUD RD STE C1, LOGANVILLE, GA 30052-2728
(770) 982-0046
(770) 982-0086
Mailing address
PO BOX 1597, LOGANVILLE, GA 30052-1597
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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