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Lucius Septimius LLC

Durable Medical Equipment & Medical Supplies in Fayetteville, GA. Organization (NPI-2).

NPI number1003641663
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1003641663
Entity type
Organization (NPI-2)
Legal business name
Lucius Septimius LLC
Organization subpart
No
Enumeration date
Sep 4, 2024
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Phone 678-545-9195

Mailing address

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Phone 678-545-9195

Authorized official

Gary A Clowers
Managing Member
6785459195

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