Organization
DME BY PREVENTIVE HEALTH CARE USA LLC
Active
Other names
DME by Preventive Health Care USA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ANTHONY CLOWERS SR. (SINGLE MANAGING MEMBER)
(678) 371-2952
Entity
Organization
Contact information
Practice address
1572 HIGHWAY 85 N STE 211, FAYETTEVILLE, GA 30214-7726
(678) 371-2952
Mailing address
1572 HIGHWAY 85 N STE 211, FAYETTEVILLE, GA 30214-7726
(678) 371-2952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
10/14/2024
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