Organization
PREMIER SHOCKWAVE, INC.
Active
Organization
PREMIER SHOCKWAVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MICHAEL STOLARSKI (PRESIDENT & CEO)
(404) 256-4440
Entity
Organization
Contact information
Practice address
750 HAMMOND DR NE, BUILDING 18 SUITE 200, ATLANTA, GA 30328-5532
(404) 256-4440
(404) 256-4446
Mailing address
750 HAMMOND DR NE, BUILDING 18 SUITE 200, ATLANTA, GA 30328-5532
(404) 256-4440
(404) 256-4446
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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