Organization
RESTORATION HEALTHCARE OF COMMERCE LLC
Active
Other names
NORTHRIDGE MEDICAL EQUIPMENT SUPPLY OF COMMERCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN N CLAPP (PRESIDENT/CEO)
(706) 335-1000
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-4999
Mailing address
641 HOSPITAL RD STE 1, COMMERCE, GA 30529-1155
(706) 335-1000
(706) 335-4999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
078-665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000151A
—
GA
Enumeration date
07/08/2011
Last updated
07/08/2011
About Stedi
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