Organization
PEACH STATE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROBERT GOLDE (VICE-PRESIDENT)
(404) 842-9939
Entity
Organization
Contact information
Practice address
11815 NORTHFALL LN, SUITE 1003, ALPHARETTA, GA 30004-7973
(678) 446-0894
(770) 346-9394
Mailing address
11815 NORTHFALL LN, SUITE 1003, ALPHARETTA, GA 30004-7973
(678) 446-0894
(770) 346-9394
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
03/18/2008
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