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General NPI Number Information
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NPI Number | 1003749029
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Entity Type | Organization
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Legal Business Name | EAST MID MEDICAL SUPPLY AND COURIER LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 175 W WIEUCA RD NE STE 207
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City | ATLANTA
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State | GA
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Zip | 30342-3254
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Country | US
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Telephone | 404-621-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W WIEUCA RD NE STE 207
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City | ATLANTA
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State | GA
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Zip | 30342-3254
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Country | US
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Telephone | 404-621-9685
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC MAURICE PEAK
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Credential |
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Telephone | 404-621-9685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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