Organization
PROLINE MEDICAL CONSULTANTS, INC.
Active
Organization
PROLINE MEDICAL CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MICHAEL HALYARD (CEO/SALES MANAGER)
(770) 505-8133
Entity
Organization
Contact information
Practice address
102 WHITE PARK DR, SUITE 300A, DALLAS, GA 30132-0973
(770) 505-8133
(770) 505-8315
Mailing address
102 WHITE PARK DR, SUITE 300A, DALLAS, GA 30132-0973
(770) 505-8133
(770) 505-8315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
200115969818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938214730A
—
GA
Enumeration date
08/07/2006
Last updated
11/13/2008
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