NPI 1104540541
Procore Med, LLC
Practice location
- Address
- 4154 Silver Peak Pkwy STE F, Suwanee, GA 30024-6702
- Phone
- (770) 740-4484
- Fax
- (770) 777-8885
- Mailing address
- PO Box 2528, Suwanee, GA 30024-0982
Authorised official
- Name
- Alana Baxter
- Title
- Vice President
- Phone
- (844) 740-4484
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1104540541
- Entity type
- Organization
- NPI issued
- 29 Sep 2022
- Record last updated
- 29 Nov 2022
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.