Organization
DIAPERS OUTLET STORES CORPORATION
Active
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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