institution
Blue Ridge Nutrition Services, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in Tucker, Georgia
NPI 1912117367

Blue Ridge Nutrition Services, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in Tucker, GA and is specialized in Parenteral & Enteral Nutrition. Blue Ridge Nutrition Services, Inc. practices in Tucker, GA. The NPI Number for Blue Ridge Nutrition Services, Inc. is 1912117367 and holds a License No. 106901 (Georgia).

The current practice location address for Blue Ridge Nutrition Services, Inc. is 3538 Habersham At Northlake, Tucker, GA and can be reached out via phone at 770-939-8720 and via fax at 770-938-7288.

Location: 3538 Habersham At Northlake, Tucker, GA, 30084-4009
institution
Provider Profile Details
NPI Number
1912117367
Provider Name
Blue Ridge Nutrition Services, Inc.
Credential
Provider Entity Type
Organization
Address
3538 Habersham At Northlake, Tucker, GA, 30084-4009
Phone Number
770-939-8720
Fax Number
770-938-7288
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000699311A 05 GA
institution
Provider Business Practice Location Address Details
Address
3538 Habersham At Northlake
City
State
Zip
30084-4009
Phone Number
770-939-8720
Fax Number
770-938-7288
person
Provider Business Mailing Address Details
Address
3538 Habersham At Northlake
City
State
Zip
30084-4009
Phone Number
770-939-8720
Fax Number
770-938-7288
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
106901 (Georgia)
Definition
Definition to come...
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