MEDISOURCE HOME MEDICAL is a customized equipment durable medical equipment medical supplies in Kennesaw, GA. MEDISOURCE HOME MEDICAL NPI is 1770501736. The provider is registered as an organization entity type.
The provider's business location address is:
975 COBB PLACE BLVD NW STE 113
KENNESAW, GA
ZIP 30144-848
Phone: (770) 528-9559
Fax: (770) 528-9309
The provider's authorized official is Sergio Silva .
The authorized official title is Owner and has the following contact phone number (770) 528-9559.
The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/13/2020.