Organization
SOUTHEAST MEDICAL, INC.
Active
Parent organization
ABC HOME MEDICAL SUPPLY, INC.
Other names
ABC Home Medical Supply, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABC HOME MEDICAL SUPPLY, INC.
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
75 N MAIN ST STE 229, CLAYTON, GA 30525-4264
(678) 707-8807
(706) 212-7912
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(678) 707-8807
(706) 212-7912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705428
—
NC
05
—
893856568A
—
GA
05
—
893856568B
—
GA
05
—
DE2802
—
SC
05
—
EN2129-CLTC
—
SC
Enumeration date
07/08/2006
Last updated
02/17/2026
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