Organization
WAALS MEDICAL SUPPY AND EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE ARTHUR SMITH (ASSISTANT ADMINISTRATOR)
(404) 389-6364
Entity
Organization
Contact information
Practice address
45 CREEKSIDE TRL, COVINGTON, GA 30016-2548
(404) 389-6364
Mailing address
45 CREEKSIDE TRL, COVINGTON, GA 30016-2548
(404) 389-6364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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