Organization · Type 2 NPI

Source One Medical Inc

Durable Medical Equipment & Medical Supplies · Marietta, GA

NPI number 1750388252 Active

Practice location

2121 New Market Pkwy SE, Suite 108
Marietta, GA 30067-9315

Call (888) 447-9056 Map

Fax (800) 588-1253

Mailing address

38 Tesla, Suite 150
Irvine, CA 92618-4670

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1750388252

Source One Medical Inc's National Provider Identifier is 1750388252, issued on Jun 30, 2005. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Marietta, GA. The record was last updated on May 27, 2011.