Organization
ALLSWELL MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES YAW OPPONG JR. (OWNER)
(770) 729-1086
Entity
Organization
Contact information
Practice address
3951 PLEASANTDALE RD, SUITE 114, DORAVILLE, GA 30340-4256
(770) 729-1086
(770) 729-1059
Mailing address
3951 PLEASANTDALE RD, SUITE 114, DORAVILLE, GA 30340-4256
(770) 729-1086
(770) 729-1059
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00203367
GA
Other
Enumeration date
12/08/2006
Last updated
03/26/2008
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