Goodwill Medical Supply INC

NPI #1801823117 in Mcdonough, Georgia

Provider Information

NPI Number: 1801823117
Entity Type: Organization
Organization Name: Goodwill Medical Supply INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Jun 26, 2006
Last Updated: Sep 14, 2007

Practice Location

Address: 903 PAVILION CT STE J
City: Mcdonough
State: Georgia
ZIP Code: 30253-6672
Phone: (770) 957-8144

Authorized Official

Name: MR. EQUERE EYO UBOH
Title: MANAGING DIRECTOR
Phone: (770) 957-8144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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