Organization
WAYNE MEDICAL
Active
Organization
WAYNE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT DELONGA (MANAGER)
(404) 771-9776
Entity
Organization
Contact information
Practice address
2951 FLOWERS RD S STE 227, ATLANTA, GA 30341-5533
(404) 771-9776
Mailing address
8 HEARDS OVERLOOK CT, ATLANTA, GA 30328-4747
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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