Jlc Medical, INC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Marietta, GA. Organization (NPI-2).
NPI number1083944482
StatusActive
Last updated in NPPESJan 6, 2010
Details
- NPI
- 1083944482
- Entity type
- Organization (NPI-2)
- Legal business name
- Jlc Medical, INC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2010
- Last updated
- Jan 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 2009#75736 | GA | Yes |
Practice location
2041 Kerry Creek DrMarietta, GA 30066-4370
Phone 770-973-9518 · Fax 770-973-8463
Mailing address
2041 Kerry Creek DrMarietta, GA 30066-4370
Phone 770-973-9518 · Fax 770-973-8463
Authorized official
Steve Mitchel Pate
Ceo
7709739518
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