Organization
CRISP MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK DAVIS MCLEOD SR. (MEMBER)
(404) 217-9421
Entity
Organization
Contact information
Practice address
403 4TH AVE, CORDELE, GA 31015
(404) 217-9421
Mailing address
403 4TH AVE, CORDELE, GA 31015
(404) 217-9421
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2007 001160
GA
Other
Enumeration date
10/10/2007
Last updated
04/26/2012
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