Organization
EVERGREEN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SMITH (DISTRIBUTOR PRINCIPAL)
(804) 787-4700
Entity
Organization
Contact information
Practice address
9256 WYATTWOOD RD, MECHANICSVILLE, VA 23116-3974
(804) 787-4700
(804) 643-0584
Mailing address
9256 WYATTWOOD RD, MECHANICSVILLE, VA 23116-3974
(804) 787-4700
(804) 643-0584
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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