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Mak Medical, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Camilla, Georgia
NPI 1912278755

Mak Medical, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Camilla, GA and is specialized in Parenteral & Enteral Nutrition. Mak Medical, Llc practices in Camilla, GA. The NPI Number for Mak Medical, Llc is 1912278755 and holds a License No. PHHH000042 (Georgia).

The current practice location address for Mak Medical, Llc is 159 E Broad St, Camilla, GA and can be reached out via phone at 229-336-7758 and via fax at 229-336-5615.

Location: 159 E Broad St, Camilla, GA, 31730-1842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912278755
Provider Name
Mak Medical, Llc
Credential
Provider Entity Type
Organization
Address
159 E Broad St, Camilla, GA, 31730-1842
Phone Number
229-336-7758
Fax Number
229-336-5615
Provider Enumeration Date
01/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
027448369B 05 GA
institution
Provider Business Practice Location Address Details
Address
159 E Broad St
City
Camilla
State
Georgia
Zip
31730-1842
Phone Number
229-336-7758
Fax Number
229-336-5615
person
Provider Business Mailing Address Details
Address
159 E Broad St
City
Camilla
State
Georgia
Zip
31730-1842
Phone Number
229-336-7758
Fax Number
229-336-5615
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
PHHH000042 (Georgia)
Definition
Definition to come...
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