Organization · Type 2 NPI
Goodwill Medical Supply Inc
Parenteral & Enteral Nutrition Supplies (DME) · Mcdonough, GA
NPI number
1801823117
Active
Practice location
903 Pavilion Ct Ste J
Mcdonough, GA 30253-6672
Fax (770) 957-8140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | 001569 (GA) |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
About NPI 1801823117
Goodwill Medical Supply Inc's National Provider Identifier is 1801823117, issued on Jun 26, 2006. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 14, 2007.