Organization
GET - WELL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH FAIRCLOUGH (MANAGING DIRECTOR)
(404) 808-5118
Entity
Organization
Contact information
Practice address
5604 WENDY BAGWELL PKWY STE 322, HIRAM, GA 30141-7814
(404) 808-5118
Mailing address
6518 HIGHWAY 85 STE G, RIVERDALE, GA 30274-2364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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