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Organization

DIAPERS OUTLET STORES CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MING CHAN (PRESIDENT)
(770) 216-9938
Entity
Organization

Contact information

Practice address
1210 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-1310
(770) 216-9938
Mailing address
1210 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-1310
(770) 216-9938

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20012264052
GA

Other

Enumeration date
12/12/2007
Last updated
12/12/2007
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