Organization Name: | GALEN MACK |
NPI Number: | 1104992619 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GALEN DENISE MACK (OWNER) |
Mailing Address: | 5975 Roswell Rd Ne Suite B205 Sandy Springs |
State: | GA US |
Postal Code: | 303284048 |
Phone Number: | 4042557200 |
Fax Number: | 4042557211 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 12/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |