Organization
ON THE GO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MOORE SCHRATWIESER JR. (OWNER PRESIDENT)
(678) 738-0047
Entity
Organization
Contact information
Practice address
1310 KENNESTONE CIR, MARIETTA, GA 30066-6092
(678) 738-0047
(678) 738-0050
Mailing address
PO BOX 440127, KENNESAW, GA 30160-9503
(678) 738-0047
(678) 738-0051
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
GA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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