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

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500X001569 (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.