Medisource Home Medical
Medisource Home Medical is a Durable Medical Equipment & Medical Supplies in Kennesaw, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
975 Cobb Place Blvd NW Ste 113Kennesaw, GA 30144-6848
Phone: (770) 528-9559
Fax: (770) 528-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X |
Record details
| NPI number | 1770501736 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sergio Silva — Owner · (770) 528-9559 |
| NPI enumerated | July 18, 2006 |
| Last updated in NPPES | October 13, 2020 |
| Certification date | October 13, 2020 |
| Mailing address | 975 Cobb Place Blvd Nw Ste 113, Kennesaw, GA 30144-6848 |
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