Dj Tiny Riderwheels

NPI #1023261765 in Lithonia, Georgia

Provider Information

NPI Number: 1023261765
Entity Type: Organization
Organization Name: Dj Tiny Riderwheels
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Oct 28, 2008
Last Updated: Jul 21, 2022

Practice Location

Address: 622 WOODSTONE RD
City: Lithonia
State: Georgia
ZIP Code: 30058-5947
Phone: (770) 374-4088

Authorized Official

Name: MR. TIMOTHY L THOMPSON SR.
Title: CEO
Phone: (770) 374-4088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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