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Organization

ENTERPRISING SERVICES MEDICAL UNL.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA HOLDER (OWNER)
(770) 788-1505
Entity
Organization

Contact information

Practice address
3011 RAINBOW DR, SUITE G, DECATUR, GA 30034-1681
(770) 788-1505
(770) 234-6260
Mailing address
3011 RAINBOW DR, SUITE G, DECATUR, GA 30034-1681
(770) 788-1505
(770) 234-6260

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00204085
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
555650815A
GA
Enumeration date
01/24/2007
Last updated
02/04/2009
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