Organization
VICTORIAN MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM HARRIS (TREASURER)
(770) 843-5380
Entity
Organization
Contact information
Practice address
1016 HOWELL MILL RD NW, #1210, ATLANTA, GA 30318-5559
(770) 843-5380
Mailing address
2566 SHALLOWFORD RD NE, SUITE 104-143, ATLANTA, GA 30345-1202
(770) 843-5380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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