Organization
JM CARDINAL INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE D SMITH (OWNER)
(478) 994-2051
Entity
Organization
Contact information
Practice address
67 N LEE ST, FORSYTH, GA 31029-2133
(478) 994-2051
(478) 994-3014
Mailing address
67 N LEE ST, FORSYTH, GA 31029-2133
(478) 994-2051
(478) 994-3014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
PHRE000675
GA
333600000X
Pharmacy
Primary
PHRE009836
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00022965B
—
GA
Enumeration date
11/17/2006
Last updated
04/24/2023
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