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SAS ANCILLARY SERVICES LLC NPI 1700110889


NPI Information

NPI: 1700110889
Provider Name: SAS ANCILLARY SERVICES LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3100 FIVE FORKS TRICKUM RD SW
SUITE 202
LILBURN, GA
ZIP 30047
Phone: (770) 736-3028
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SAS ANCILLARY SERVICES LLC is a durable medical equipment medical supplies in Lilburn, 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. SAS ANCILLARY SERVICES LLC NPI is 1700110889. The provider is registered as an organization entity type.

The provider's business location address is:

3100 FIVE FORKS TRICKUM RD SW
SUITE 202
LILBURN, GA
ZIP 30047-890
Phone: (770) 736-3028
Fax: (770) 736-3345

The provider's authorized official is Karen Denise Forrister .
The authorized official title is C.o.o. and has the following contact phone number (770) 736-3028.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 10/13/2010.


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 SuppliesGEORGIAYes

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
16440530001MEDICARE NSCGEORGIA

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: 11/14/2023

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