Organization
GARANTHE MEDICAL SUPPLY
Active
Other names
GARANTHE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANTI HERNANDEZ (AUTHORIZE OFFICIAL)
(770) 441-9992
Entity
Organization
Contact information
Practice address
2400 WISTERIA DR, SUITE F, SNELLVILLE, GA 30078-2273
(770) 441-9992
(770) 441-9947
Mailing address
2400 WISTERIA DR, SUITE F, SNELLVILLE, GA 30078-2689
(770) 441-9992
(770) 441-9947
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2016OCC-006596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
996735450-A
—
GA
05
—
996735450B
—
GA
Enumeration date
05/21/2007
Last updated
10/26/2017
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