OrganizationActive
Advanced Medical Group, LLC
NPI 1003087685 · Durable Medical Equipment & Medical Supplies · Suwanee, GA
Provider details
- NPI number
- 1003087685
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Vance Wall, Ceo
- License
- 9181 (SC)
Practice location
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
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2016-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.