Organization
MILES MEDICAL SUPPLIES
Active
Other names
miles medical supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE MILES POOL JR. (MANAGING MEMBER)
(678) 673-7783
Entity
Organization
Contact information
Practice address
1572 HIGHWAY 85 N STE 326, FAYETTEVILLE, GA 30214-7730
(678) 673-7783
Mailing address
1572 HIGHWAY 85 N STE 326, FAYETTEVILLE, GA 30214-7730
(678) 673-7783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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