Healthcare Provider Details
I. General information
NPI: 1033061007
Provider Name (Legal Business Name): SILVER BRIDGE SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3675 CRESTWOOD PKWY NW STE 470
DULUTH GA
30096-5136
US
IV. Provider business mailing address
3675 CRESTWOOD PKWY NW STE 470
DULUTH GA
30096-5136
US
V. Phone/Fax
- Phone: 470-749-6027
- Fax:
- Phone: 470-749-6027
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AHMED
ZAYED
Title or Position: PRESIDENT
Credential:
Phone: 470-749-6027