Organization
SURGIMED SUPPLIERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMELIA ORUBELE (PRESIDENT)
(678) 879-0721
Entity
Organization
Contact information
Practice address
6399 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-2320
(678) 879-0721
(678) 893-0942
Mailing address
6399 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-2320
(678) 879-0721
(678) 893-0942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
301254869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000914834A
—
GA
01
—
10059497
AMERIGROUP COMMUNITY CARE
GA
01
—
334560
WELLCARE
GA
Enumeration date
10/06/2006
Last updated
02/17/2009
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