Organization
DME AND DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAREL JEAN-LOUIS JR. DC (OWNER)
(404) 578-1507
Entity
Organization
Contact information
Practice address
1261 PARKER RD SE, CONYERS, GA 30094-5957
(404) 784-2906
(770) 761-0277
Mailing address
2045 MOUNT ZION RD # 351, MORROW, GA 30260-3313
(404) 784-2906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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