Organization · NPI-2

City Medical Supply INC.

Durable Medical Equipment & Medical Supplies · Mableton, GA

NPI number1275697872
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1275697872
Entity type
Organization (NPI-2)
Legal business name
City Medical Supply INC.
Organization subpart
No
Enumeration date
Dec 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

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

Practice location

5701 Mableton Pkwy Se
3d
Mableton, GA 30126-3395

Phone 770-819-1440

Mailing address

Po Box 1549
Mableton, GA 30126-1009

Phone 770-819-1440

Authorized official

Edward Imarhia
Administrator
7708191440

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