Organization
CHOICE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON POPE (OWNER)
(770) 549-0098
Entity
Organization
Contact information
Practice address
475 LAKESIDE CIR, COVINGTON, GA 30016-8877
(770) 549-0098
(770) 784-9614
Mailing address
475 LAKESIDE CIR, COVINGTON, GA 30016-8877
(770) 549-0098
(770) 784-9614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033104451A
—
GA
Enumeration date
11/28/2007
Last updated
06/19/2014
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