Organization · NPI-2

Advantrra Medical Supplies

Durable Medical Equipment & Medical Supplies · Atlanta, GA

NPI number1164770673
StatusActive
Last updated in NPPESAug 23, 2012

Details

NPI
1164770673
Entity type
Organization (NPI-2)
Legal business name
Advantrra Medical Supplies
Organization subpart
No
Enumeration date
Aug 15, 2012
Last updated
Aug 23, 2012

Taxonomy and licenses

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

Practice location

4707 Ashford Dunwoody Rd Unit 467021
Atlanta, GA 31146-0100

Phone 216-214-1547

Mailing address

3665 Hospital Ave
Chamblee, GA 30341

Phone 216-214-1547

Authorized official

Jamie Reid
V.President
2162141547

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