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MED SUPPLIES EXPRESS INC NPI 1619088796


NPI Information

NPI: 1619088796
Provider Name: MED SUPPLIES EXPRESS INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
925 CRIPPLE CREEK DR
STE 500
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 377-5660
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MED SUPPLIES EXPRESS INC is a durable medical equipment medical supplies in Lawrenceville, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MED SUPPLIES EXPRESS INC NPI is 1619088796. The provider is registered as an organization entity type.

The provider's business location address is:

925 CRIPPLE CREEK DR
STE 500
LAWRENCEVILLE, GA
ZIP 30043-503
Phone: (678) 377-5660
Fax: (770) 454-0123

The provider's authorized official is Mbaukwu U Anaba .
The authorized official title is President and has the following contact phone number (678) 377-5660.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies4860980001GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200813470AMEDICAIDINDIANA
24860980001MEDICARE NSC
3884938199AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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