Organization
ULTRALITE ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCMILLAN (PRESIDENT)
(770) 963-0594
Entity
Organization
Contact information
Practice address
390 FARMER CT, LAWRENCEVILLE, GA 30046-6132
(770) 963-0594
(770) 995-7171
Mailing address
390 FARMER CT, LAWRENCEVILLE, GA 30046-6132
(770) 963-0594
(770) 995-7171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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