Organization
DME STATION
Active
Organization
DME STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA BURKS (OWNER)
18885324828
Entity
Organization
Contact information
Practice address
6971 PEACHTREE INDUSTRIAL BLVD, STORE #107-B, NORCROSS, GA 30092
(188) 853-2482
Mailing address
6971 PEACHTREE INDUSTRIAL BLVD, STORE #107-B, NORCROSS, GA 30092
(188) 853-2482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
09/19/2006
Last updated
08/22/2020
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