Organization
PRIME MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE DANTELL (OWNER)
(770) 504-4005
Entity
Organization
Contact information
Practice address
120 N MCDONOUGH ST STE 500, JONESBORO, GA 30236-3675
(770) 504-4005
(470) 575-6312
Mailing address
120 N MCDONOUGH ST STE 500, JONESBORO, GA 30236-3675
(770) 504-4005
(470) 575-6312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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