Mediquip Rehabilitative Equipment and Supplies

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lake City, GA

NPI 1043418593 · NPPES record last updated Apr 7, 2010

Key facts

NPI
1043418593
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MEDIQUIP REHABILITATIVE EQUIPMENT AND SUPPLIES
Practice address
2084 Rex Rd
Suite 3
Lake City, GA 30260-3960
Phone
(404) 362-9855
Fax
(404) 362-9856
NPI assigned
Jul 6, 2007
Organization subpart
No

Authorized official

Name
Kristi R Jordan
Title
Ceo
Phone
(404) 362-9855

National Provider Directory

Locations

2084 Rex Rd
Ste 3
Morrow, GA 30260
Phone (404) 362-9855

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2084 Rex Rd
Suite 3
Lake City, GA 30260-3960

Mailing address

2084 Rex Rd
Suite 3
Lake City, GA 30260-3960
Phone (404) 362-9855

Other providers in Lake City, GA

All providers in Lake City, GA · Durable Medical Equipment & Medical Supplies in Georgia

Sources for this page

Verify at the official NPI Registry.