Organization
IMPACT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL SHAFIQ (AUTHORIZED OFFICIAL)
(404) 493-1019
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE STE 361, MARIETTA, GA 30067-8613
(404) 493-1019
Mailing address
2470 WINDY HILL RD SE STE 361, MARIETTA, GA 30067-8613
(404) 493-1019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
02/13/2024
About Stedi
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