Organization
SOUTHERN MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TODD MCKENZIE (PRINCIPAL)
(678) 616-5523
Entity
Organization
Contact information
Practice address
2535 BENT CREEK WAY, CUMMING, GA 30041-6342
(678) 616-5523
Mailing address
2535 BENT CREEK WAY, CUMMING, GA 30041-6342
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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