Organization
EXTRAKARE, LLC
Active
Organization
EXTRAKARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LLOYD (PRESIDENT)
(770) 449-6898
Entity
Organization
Contact information
Practice address
3250 PEACHTREE CORNERS CIR, SUITE A, NORCROSS, GA 30092-5751
(770) 449-6898
(770) 449-3336
Mailing address
PO BOX 922575, NORCROSS, GA 30010-2575
(770) 449-6898
(770) 449-3336
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975916385A
—
GA
Enumeration date
03/14/2006
Last updated
03/31/2011
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