Individual provider · NPI-1

Gwendolyn Yvonne Neals

Durable Medical Equipment & Medical Supplies · Mableton, GA

NPI number1033360615
StatusActive
Last updated in NPPESOct 1, 2008

Details

NPI
1033360615
Entity type
Individual (NPI-1)
Name
Ms. Gwendolyn Yvonne Neals
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2008
Last updated
Oct 1, 2008

Taxonomy and licenses

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

Practice location

5892 Brookside Dr Se
Mableton, GA 30126-2880

Phone 404-313-6811

Mailing address

5892 Brookside Dr Se
Mableton, GA 30126-2880

Phone 404-313-6811

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