Organization
FIRST MEDICAL SUPPLIERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN Q MCCLAM (OWNER)
(404) 696-0091
Entity
Organization
Contact information
Practice address
75 MENDEL DR SW STE H, ATLANTA, GA 30336-2023
(404) 696-0091
(404) 696-0092
Mailing address
75 MENDEL DR SW STE H, ATLANTA, GA 30336-2023
(404) 696-0091
(404) 696-0092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638976A
—
GA
Enumeration date
03/26/2007
Last updated
07/21/2022
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