Organization
MEMPHIS DME SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND KARTLELISHVILI (OWNER)
(800) 695-5474
Entity
Organization
Contact information
Practice address
5118 PARK AVE STE 323, MEMPHIS, TN 38117-5711
(800) 695-5474
(901) 443-1196
Mailing address
5118 PARK AVE STE 323, MEMPHIS, TN 38117-5711
(800) 695-5474
(901) 443-1196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
03/18/2026
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