MEDICARE: CAT'S PAJAMAS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1689956625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAT'S PAJAMAS, LTD

Provider Business Mailing Address
First Line	:	48 GRIFFIN ST
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-3122
Country	:	US
Telephone Number	:	770-954-1005
Fax Number	:	770-898-9440

Provider Business Practice Location Address
First Line	:	818 SAINT SEBASTIAN WAY STE 205
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2652
Country	:	US
Telephone Number	:	706-774-4143
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MS. DIANE MOORE
Credential	:	CFM
Telephone Number	:	770-954-1005

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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