Organization
EASY LIFE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY NWEKE (OWNER)
(678) 380-9130
Entity
Organization
Contact information
Practice address
3395 LAWRENCEVILLE HWY STE B, LAWRENCEVILLE, GA 30044-6408
(678) 380-9130
(770) 935-8970
Mailing address
3395 LAWRENCEVILLE HWY STE B, LAWRENCEVILLE, GA 30044-6408
(678) 380-9130
(770) 935-8970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2009011590
GA
Other
Enumeration date
04/30/2009
Last updated
09/01/2009
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