Organization
SQUAD MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SMITH (OWNER)
(404) 442-2019
Entity
Organization
Contact information
Practice address
105 COMMERCE DR STE C, FAYETTEVILLE, GA 30214-7352
(678) 519-0842
Mailing address
1260 BUCKINGHAM DR, FAIRBURN, GA 30213-6479
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
11/25/2025
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