Organization
MIDWEST MEDICAL ASSOCIATES, INC.
Active
Organization
MIDWEST MEDICAL ASSOCIATES, INC.
Active
Other names
Southern Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PARKER (CEO)
(843) 696-0663
Entity
Organization
Contact information
Practice address
2295 PARKLAKE DRIVE, SUITE 100, ATLANTA, GA 30345-2816
(877) 593-3546
(877) 593-9689
Mailing address
2295 PARKLAKE DRIVE, SUITE 100, ATLANTA, GA 30345-2816
(843) 696-0663
(678) 578-6252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/17/2022
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