| Fountain Bridge Services, Llc | |
|
456 Tioram Ln Se Smyrna GA 30082-5239 | |
| (404) 604-0092 | |
| Not Available |
| Full Name | Fountain Bridge Services, Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 456 Tioram Ln Se, Smyrna, Georgia |
| Authorized Official Name and Position | M Johnson (PRESIDENT) |
| Authorized Official Contact | 4046040092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Bridge Services, Llc 456 Tioram Ln Se Smyrna GA 30082-5239 Ph: (404) 604-0092 | Fountain Bridge Services, Llc 456 Tioram Ln Se Smyrna GA 30082-5239 Ph: (404) 604-0092 |
| NPI Number | 1205186962 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205186962 | NPI | - | NPPES |
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