Organization
RADIANT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYSHA PENNERMAN (AUTHORIZED OFFICIAL)
(404) 855-4858
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE STE 146, ATLANTA, GA 30345-2956
(404) 855-4858
Mailing address
2302 PARKLAKE DR NE STE 146, ATLANTA, GA 30345-2956
(404) 855-4858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
About Stedi
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