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Organization

CHATUGE MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS VALERIE CHASTAIN (OFFICE MANAGER)
(706) 896-5916
Entity
Organization

Contact information

Practice address
101 SOUTH MAIN STREET, SUITE 6, HIAWASSEE, GA 30546
(706) 896-5916
Mailing address
101 S MAIN ST, SUITE 6, HIAWASSEE, GA 30546-3249
(706) 896-5916

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
06/17/2013
Last updated
09/04/2014
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