Healthcare Provider Details

I. General information

NPI: 1891125068
Provider Name (Legal Business Name): MEDICAL EQUIPMENT SUPPLIERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 11/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 CASCADE RD SW SUITE 220
ATLANTA GA
30331-8512
US

IV. Provider business mailing address

3915 CASCADE RD SW SUITE 220
ATLANTA GA
30331-8512
US

V. Phone/Fax

Practice location:
  • Phone: 404-699-0966
  • Fax: 404-699-0988
Mailing address:
  • Phone: 404-699-0966
  • Fax: 404-699-0988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. WINSTON KYLE CARHEE JR.
Title or Position: PRESIDENT
Credential: D.C.
Phone: 404-699-0966