Organization
AIYANNA, LLC
Active
Organization
AIYANNA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES GLOVER JR. (MANGER)
(404) 579-0874
Entity
Organization
Contact information
Practice address
83 BOB WHITE AVE, BLAKELY, GA 39823-2630
(404) 579-0874
Mailing address
76002 GLOVER LN, YULEE, FL 32097-2810
(404) 579-0874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
02/03/2011
Last updated
03/14/2011
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