Organization
SCIENTECH MEDICAL SUPPLIES, INC.
Active
Other names
Scientech Medical Supplies, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IYOBOSA O JESUOROBO MBA (CEO)
(770) 471-4888
Entity
Organization
Contact information
Practice address
7000 TARA BLVD, SUITE F, JONESBORO, GA 30236-1600
(770) 417-4888
(770) 471-4887
Mailing address
PO BOX 1635, STOCKBRIDGE, GA 30281-8635
(770) 471-4888
(770) 471-4887
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
20016604261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44181255A
—
GA
Enumeration date
05/23/2005
Last updated
04/07/2010
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