Organization
SHALOM MEDICAL GROUP LLC
Active
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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