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Bonnie Gray-mauldin
Oxygen Equipment & Supplies (DME) in Roswell, Georgia
NPI 1598193138

Bonnie Gray-mauldin is a Oxygen Equipment & Supplies (DME) based in Roswell, GA and is specialized in Oxygen Equipment & Supplies. Bonnie Gray-mauldin practices in Roswell, GA. The NPI Number for Bonnie Gray-mauldin is 1598193138 and holds a License No. 308085749 (Georgia).

The current practice location address for Bonnie Gray-mauldin is 1408 Harbor Lndg, Roswell, GA and can be reached out via phone at 678-542-4053 and via fax at 678-802-2899.

Location: 1408 Harbor Lndg, Roswell, GA, 30076-3123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598193138
Provider Name
Bonnie Gray-mauldin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1408 Harbor Lndg, Roswell, GA, 30076-3123
Phone Number
678-542-4053
Fax Number
678-802-2899
Provider Enumeration Date
10/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1408 Harbor Lndg
City
Roswell
State
Georgia
Zip
30076-3123
Phone Number
678-542-4053
Fax Number
678-802-2899
person
Provider Business Mailing Address Details
Address
1408 Harbor Lndg
City
Roswell
State
Georgia
Zip
30076-3123
Phone Number
678-542-4053
Fax Number
678-802-2899
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
308085749 (Georgia)
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
308085749 (Georgia)
Definition
Definition to come...
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