Organization
G & C DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY N PRATT (OWNER)
(304) 838-4674
Entity
Organization
Contact information
Practice address
1300 VIRGINIA AVE, FAIRMONT, WV 26554-3659
(304) 367-1241
(304) 363-6758
Mailing address
1300 VIRGINIA AVE, FAIRMONT, WV 26554-3659
(304) 367-1241
(304) 363-6758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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