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Organization

ALLIANCE MEDICAL EQUIPMENT & SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GERALDINE FARRIS PRUDHOMME (PRESIDENT)
(770) 907-6810
Entity
Organization

Contact information

Practice address
6724 HIGHWAY 85, SUITE 2, RIVERDALE, GA 30274
(770) 907-6810
(404) 748-9047
Mailing address
6724 HIGHWAY 85, SUITE 2, RIVERDALE, GA 30274
(770) 907-6810
(404) 748-9047

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4775740001
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1152731
LA
Enumeration date
09/14/2006
Last updated
08/22/2020
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