Medlife Medical Supply LLC

NPI #1164691598 in Tucker, Georgia

Provider Information

NPI Number: 1164691598
Entity Type: Organization
Organization Name: Medlife Medical Supply LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 29, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 2191 NORTHLAKE PKWY
Address 2: SUITE-J BLDG #11
City: Tucker
State: Georgia
ZIP Code: 30084-4166
Phone: (770) 908-5666

Authorized Official

Name: KENNETH B SMITH
Title: OWNER GENERAL MANAGER
Phone: (770) 908-5666

Specialties & Taxonomy Codes

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

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