Organization
EAGLE SPORTSCHAIRS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY M EWING (OWNER)
(770) 972-0763
Entity
Organization
Contact information
Practice address
2351 PARKWOOD RD, SNELLVILLE, GA 30039-4003
(770) 972-0763
(770) 985-4885
Mailing address
2351 PARKWOOD RD, SNELLVILLE, GA 30039
(770) 972-0763
(770) 985-4885
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2009018070
GA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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