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North Fulton Opical INC.

Durable Medical Equipment & Medical Supplies in Roswell, GA. Organization (NPI-2).

NPI number1629099643
StatusActive
Last updated in NPPESMar 22, 2013

Details

NPI
1629099643
Entity type
Organization (NPI-2)
Legal business name
North Fulton Opical INC.
Organization subpart
No
Enumeration date
Jul 22, 2006
Last updated
Mar 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies20006775082GAYes

Practice location

2500 Hospital Blvd
Suite 110
Roswell, GA 30076-4907

Phone 770-664-7697 · Fax 770-442-9526

Mailing address

2500 Hosp. Blvd
Roswell, GA 30076

Phone 770-664-7697 · Fax 770-442-9526

Authorized official

Ann Oneill
Optician
7706647697

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