Source One Medical INC

NPI #1750388252 in Marietta, Georgia

Provider Information

NPI Number
1750388252
Entity Type
Organization
Organization Name
Source One Medical INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 30, 2005
Last Updated
May 27, 2011

Practice Location

Address
2121 NEW MARKET PKWY SE
Address 2
SUITE 108
State
Georgia
ZIP Code
30067-9315
Phone
(888) 447-9056

Authorized Official

Name
DENNIS KLINE
Title
PRESIDENT/CEO
Phone
(888) 447-9056

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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