Organization
MEDICAL SUPPLIES (NOW)
Active
Organization
MEDICAL SUPPLIES (NOW)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BARANKO (CFO)
(229) 430-0416
Entity
Organization
Contact information
Practice address
1120 W BROAD AVE STE C6, ALBANY, GA 31707-4386
(229) 430-0416
Mailing address
1120 W BROAD AVE STE C6, ALBANY, GA 31707-4386
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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