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Pmr Retailer LLC — NPI 1770426504, Covington, GA | NPI Central

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NPI 1770426504

OrganizationActive

Pmr Retailer LLC

NPI 1770426504 · Supports Brokerage Agency · Covington, GA

Provider details

NPI number: 1770426504
Entity type: Organization
Primary specialty: Supports Brokerage AgencyAgencies
Organization subpart: No
Authorized official: Pamela Russell, Owner(470) 205-9882

Specialties & taxonomies

Supports Brokerage AgencyPrimary251X00000X
Agencies
Case Management Agency251B00000X
Agencies

Practice location

13 Ray Rd

Covington, GA 30014-5954

Phone: (470) 205-9882

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

13 Ray Rd

Covington, GA 30014-5954

Registry dates

Enumerated: 2026-04-14
Last updated: 2026-04-14
Certified: 2026-04-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.