Organization
SHALOM MEDICAL GROUP LLC
Active
Other names
Shalom Medical Equipment and Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ENWEMADU (CEO)
(678) 482-6003
Entity
Organization
Contact information
Practice address
3550 LAWRENCEVILLE SUWANEE RD, SUITE 105/106, SUWANEE, GA 30024-7049
(678) 482-6003
(678) 482-6032
Mailing address
3550 LAWRENCEVILLE SUWANEE RD, SUITE 105/106, SUWANEE, GA 30024-7049
(678) 482-6003
(678) 482-6032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12581
GA
Other
Enumeration date
05/01/2009
Last updated
12/05/2011
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