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FOUNTAIN BRIDGE SERVICES LLC NPI 1205186962


NPI Information

NPI: 1205186962
Provider Name: FOUNTAIN BRIDGE SERVICES, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
456 TIORAM LN SE
SMYRNA, GA
ZIP 30082
Phone: (404) 604-0092
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FOUNTAIN BRIDGE SERVICES, LLC is a durable medical equipment medical supplies in Smyrna, 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. FOUNTAIN BRIDGE SERVICES, LLC NPI is 1205186962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

456 TIORAM LN SE
SMYRNA, GA
ZIP 30082-239
Phone: (404) 604-0092

The provider's authorized official is M Johnson .
The authorized official title is President and has the following contact phone number (404) 604-0092.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 1/9/2013.


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
1103K00000XBehavior AnalystNo
2171M00000XCase Manager/Care CoordinatorNo
3246Z00000XSpecialist/Technologist, OtherNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 5/5/2024

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