Organization
ATLANTA MEDICAL SOURCING AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAED IMMTEIRAH (OWNER)
(770) 282-8784
Entity
Organization
Contact information
Practice address
12705 CENTURY DR UNIT D, ALPHARETTA, GA 30009-8378
(404) 882-8466
(404) 900-9201
Mailing address
12705 CENTURY DR UNIT D, ALPHARETTA, GA 30009-8378
(404) 882-8466
(404) 900-9201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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