Mediquip Medical Supplies INC

NPI #1003995887 in Tucker, Georgia

Provider Information

NPI Number: 1003995887
Entity Type: Organization
Organization Name: Mediquip Medical Supplies INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Nov 3, 2006
Last Updated: Oct 16, 2008

Practice Location

Address: 4404 HUGH HOWELL RD
Address 2: SUITE 21
City: Tucker
State: Georgia
ZIP Code: 30084-5996
Phone: (770) 270-5808

Authorized Official

Name: MRS. PRISCILLA WATT
Title: CEO
Phone: (770) 498-7077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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