NPI 1003087685

Advanced Medical Group, LLC

Organisation Durable Medical Equipment & Medical Supplies Suwanee, GA

Practice location

Address: 450 Old Peachtree Rd NW Suite 102, Suwanee, GA 30024-7289
Phone: (877) 645-3506
Fax: (888) 273-1488
Mailing address: PO Box 1860, Langley, SC 29834-1860

Authorised official

Name: Vance Timothy Wall
Title: Ceo
Phone: (678) 985-7246

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Georgia →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence 9181 (SC)

Other Pharmacy providers in Georgia →

Registry record

NPI: 1003087685
Entity type: Organization
NPI issued: 21 Mar 2008
Record last updated: 24 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.