Organization
CONSOLIDATED CRITICAL CARE, INC.
Active
Other names
Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VANNOY (PRESIDENT)
(404) 699-5559
Entity
Organization
Contact information
Practice address
1035 RESEARCH CENTER ATLANTA DR SW, SUITE A, ATLANTA, GA 30331-2035
(404) 699-5559
(404) 699-5535
Mailing address
1035 RESEARCH CENTER ATLANTA DR SW, SUITE A, ATLANTA, GA 30331-2035
(404) 699-5559
(404) 699-5535
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
060172139
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428667A
—
GA
Enumeration date
05/30/2006
Last updated
12/30/2011
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