Organization
WELLNESS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY DUFFEY (OWNER)
(404) 272-7140
Entity
Organization
Contact information
Practice address
2385 WALL ST SE STE 226, CONYERS, GA 30013-2187
(404) 272-7140
Mailing address
2385 WALL ST SE STE 226, CONYERS, GA 30013-2187
(404) 272-7140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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