Healthcare Provider Details

I. General information

NPI: 1083534796
Provider Name (Legal Business Name): ARCHWAY MEDICAL EQUIPMENT & SUPPLY CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 WINDY HILL RD SE STE 206
MARIETTA GA
30067-8617
US

IV. Provider business mailing address

2470 WINDY HILL RD SE STE 206
MARIETTA GA
30067-8617
US

V. Phone/Fax

Practice location:
  • Phone: 321-233-0941
  • Fax: 321-233-0941
Mailing address:
  • Phone: 470-945-4558
  • Fax: 470-945-4558

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: SONIA SANDERS
Title or Position: MANAGING MEMBER
Credential:
Phone: 470-945-4558