Organization
PHYSICIANS PREFERRED MED EQUIP SEV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD K MARK JR. M.D. (CEO)
(229) 242-1234
Entity
Organization
Contact information
Practice address
4274 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 242-1234
(229) 247-8110
Mailing address
4274 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 242-1234
(229) 247-8110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
05/01/2008
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