Maxicare Medical Supply

NPI #1790959187 in Riverdale, Georgia

Provider Information

NPI Number
1790959187
Entity Type
Organization
Organization Name
Maxicare Medical Supply
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 16, 2008
Last Updated
Aug 25, 2008

Practice Location

Address
804 COMMERCE BLVD
Address 2
SUITE A-32
State
Georgia
ZIP Code
30296-7198
Phone
(770) 907-0194

Authorized Official

Name
MR. EFIONG EYO MBABA, REGISTERED NURSE
Title
OWNER
Phone
(770) 907-0194

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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