SAFEWAY MEDICAL LLC NPI 1063936623

NPI Information

  • NPI: 1063936623
  • Provider Name: SAFEWAY MEDICAL LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 2330 SCENIC HWY S STE 303
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 674-2875

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NPI Details

SAFEWAY MEDICAL LLC is a durable medical equipment medical supplies in Snellville, 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. SAFEWAY MEDICAL LLC NPI is 1063936623. The provider is registered as an organization entity type.

The provider's business location address is:

2330 SCENIC HWY S STE 303
SNELLVILLE, GA
ZIP 30078-115
Phone: (770) 674-2875
Fax: (770) 674-2876

The provider's authorized official is Moco Willis .
The authorized official title is Owner and has the following contact phone number (770) 674-2875.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesGEORGIAYes

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: 11/21/2025

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