Organization
C & W DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WAYNE CRISP (OWNER)
(404) 362-2990
Entity
Organization
Contact information
Practice address
1057 MAIN ST, SUITE C, FOREST PARK, GA 30297-1482
(404) 362-6901
(404) 362-6904
Mailing address
1057 MAIN ST, SUITE C, FOREST PARK, GA 30297-1482
(404) 362-6901
(404) 362-6904
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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