Organization
MARIETTA MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM TIVZENDA (MANAGER)
(770) 432-7227
Entity
Organization
Contact information
Practice address
1730 AUSTELL RD SE, MARIETTA, GA 30008-4362
(770) 432-7227
Mailing address
1730 AUSTELL RD SE, MARIETTA, GA 30008-4362
(770) 432-7227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
116205
GA
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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