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Organization

SOUTHEASTERN SCIENTIFIC SUPPLY COMPANY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID BRAIN (OWNER/GM)
(770) 913-8768
Entity
Organization

Contact information

Practice address
6883 JUSTIN DR, LOGANVILLE, GA 30052-6401
(770) 913-8768
(770) 913-8762
Mailing address
6883 JUSTIN DR, LOGANVILLE, GA 30052-6401
(770) 913-8768
(770) 913-8762

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
20113603522
GA

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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