Shalom Medical Group LLC

NPI #1861636052 in Suwanee, Georgia

Provider Information

NPI Number
1861636052
Entity Type
Organization
Organization Name
Shalom Medical Group LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 1, 2009
Last Updated
Dec 5, 2011

Practice Location

Address
3550 LAWRENCEVILLE SUWANEE RD
Address 2
SUITE 105/106
State
Georgia
ZIP Code
30024-7049
Phone
(678) 482-6003

Authorized Official

Name
ANGEL ENWEMADU
Title
CEO
Phone
(678) 482-6003

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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