Organization
ENVIP MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON PICKETT-WILLIAMS (OWNER)
(478) 219-7202
Entity
Organization
Contact information
Practice address
130 EAGLE SPRING CT STE D, STOCKBRIDGE, GA 30281-7252
(478) 219-7202
(478) 219-7218
Mailing address
130 EAGLE SPRING CT STE D, STOCKBRIDGE, GA 30281-7252
(478) 219-7202
(478) 219-7218
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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