Organization
PURDENCIO MS SURPLUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HABIB GEAGEA (OWNER)
(770) 739-8092
Entity
Organization
Contact information
Practice address
5900 MAXHAM RD, SUITE#17, AUSTELL, GA 30168-4258
(770) 739-8092
Mailing address
5900 MAXHAM RD, SUITE#17, AUSTELL, GA 30168-4258
(770) 739-8092
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
02/05/2009
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