Organization
MG MEDICAL EQUIPMENT AND SUPPLY LLC
Active
Organization
MG MEDICAL EQUIPMENT AND SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LARRY WATERS (CEO)
(770) 490-3911
Entity
Organization
Contact information
Practice address
660 E CHURCH ST STE A, JASPER, GA 30143-1312
(770) 490-3911
(678) 823-7129
Mailing address
660 E CHURCH ST STE A, JASPER, GA 30143-1312
(770) 490-3911
(678) 823-7129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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