Organization
ACWORTH DURABLE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ALEXANDER MABRY DHSC (OWNER/CEO)
(678) 471-6983
Entity
Organization
Contact information
Practice address
4929 N MAIN ST STE 206, ACWORTH, GA 30101-5323
(470) 416-4920
Mailing address
4929 N MAIN ST STE 206, ACWORTH, GA 30101-5323
(470) 416-4920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/10/2023
Last updated
08/26/2024
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