Organization
XCALIBUR SPORTS CHAIRS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY FRIERSON (OWNER)
(800) 210-2686
Entity
Organization
Contact information
Practice address
55 PEARL INDUSTRIAL AVE, STE 200, HOSCHTON, GA 30548-4407
(800) 210-2686
(678) 500-9543
Mailing address
55 PEARL INDUSTRIAL AVE, STE 200, HOSCHTON, GA 30548-4407
(800) 210-2686
(678) 500-9543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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