SHALOM MEDICAL GROUP LLC NPI 1861636052

NPI Information

SHALOM MEDICAL GROUP LLC is a durable medical equipment medical supplies in Suwanee, GA. The provider is 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. SHALOM MEDICAL GROUP LLC NPI is 1861636052. The provider is registered as an organization entity type.
The provider Is Doing Business As Shalom Medical Equipment And Supplies.

The provider's business location address is:

3550 LAWRENCEVILLE SUWANEE RD
SUITE 105/106
SUWANEE, GA
ZIP 30024-049
Phone: (678) 482-6003
Fax: (678) 482-6032

The provider's authorized official is Angel Enwemadu .
The authorized official title is Ceo and has the following contact phone number (678) 482-6003.

The enumeration date for this NPI number is 5/1/2009 and was last updated on 12/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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