Source Medical Supplies
Source Medical Supplies is a Durable Medical Equipment & Medical Supplies in Fayetteville, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1572 Highway 85 N Ste 316Fayetteville, GA 30214-7727
Phone: (678) 755-2554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1588352611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smith — Officer · (678) 755-2554 |
| NPI enumerated | April 26, 2023 |
| Last updated in NPPES | August 31, 2023 |
| Certification date | August 31, 2023 |
| Mailing address | 100 Northtowne Cv, Stockbridge, GA 30281-1097 |
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