Organization
GENTLE MEDICAL SYSTEM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN OLAWOYIN (MANAGING DIRECTOR)
(770) 963-0034
Entity
Organization
Contact information
Practice address
134 HURRICANE SHOALS RD NE STE G, LAWRENCEVILLE, GA 30046-4445
(770) 963-0034
(404) 935-9394
Mailing address
134 HURRICANE SHOALS RD NE STE G, LAWRENCEVILLE, GA 30046-4445
(770) 963-0034
(404) 935-9394
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
19124728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19124728
BUSINESS LICENSE
GA
Enumeration date
04/01/2011
Last updated
04/01/2011
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