Organization · NPI-2
Face Down Ga
Durable Medical Equipment & Medical Supplies · Lilburn, GA
NPI number1265807580
StatusActive
Last updated in NPPESDec 11, 2015
Details
- NPI
- 1265807580
- Entity type
- Organization (NPI-2)
- Legal business name
- Face Down Ga
- Organization subpart
- No
- Enumeration date
- Dec 11, 2015
- Last updated
- Dec 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Face Down Chairs (Doing Business As)
Practice location
1014 Camp Creek Dr SwLilburn, GA 30047-5460
Phone 404-643-1654
Mailing address
1014 Camp Creek Dr SwLilburn, GA 30047-5460
Phone 404-643-1654
Authorized official
Courtney Walker
Owner
4046431654
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