Organization
EASYLIFE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NWAFOR GERALD OBIORAH DME (AGENT)
(240) 476-9584
Entity
Organization
Contact information
Practice address
3395 LAWRENCEVILLE HWY, STE B, LAWRENCEVILLE, GA 30044-6408
(240) 476-9584
Mailing address
3395 LAWRENCEVILLE HWY, STE B, LAWRENCEVILLE, GA 30044-6408
(240) 476-9584
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2007020341
GA
Other
Enumeration date
06/11/2007
Last updated
11/13/2007
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