Organization
ERNEST CHARLES & COMPANY
Active
Other names
Mitowne Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA ROSHELL PHD, MSW (PRESIDENT)
(478) 757-9909
Entity
Organization
Contact information
Practice address
3638 VINEVILLE AVE, MACON, GA 31204-1853
(478) 757-9909
(478) 757-0195
Mailing address
3638 VINEVILLE AVE, MACON, GA 31204-1853
(478) 757-9909
(478) 757-0195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/31/2007
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