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MEDMART PLUS LLC NPI 1962642124


NPI Information

NPI: 1962642124
Provider Name: MEDMART PLUS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3555 CENTERVILLE HWY STE 103
SNELLVILLE, GA
ZIP 30039
Phone: (770) 982-5050
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MEDMART PLUS 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. MEDMART PLUS LLC NPI is 1962642124. The provider is registered as an organization entity type.

The provider's business location address is:

3555 CENTERVILLE HWY STE 103
SNELLVILLE, GA
ZIP 30039-457
Phone: (770) 982-5050
Fax: (770) 982-5053

The provider's authorized official is Claude Echols .
The authorized official title is Presdient and has the following contact phone number (770) 982-5051.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/24/2010.


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 SuppliesYes

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
16309930001MEDICARE 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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