Healthcare Provider Details

I. General information

NPI: 1790841203
Provider Name (Legal Business Name): AZ GLOBAL MARKETING COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 COBB INDUSTRIAL DR SUITE A
MARIETTA GA
30066-6623
US

IV. Provider business mailing address

PO BOX 440151
KENNESAW GA
30160-9503
US

V. Phone/Fax

Practice location:
  • Phone: 770-218-6899
  • Fax: 770-529-5026
Mailing address:
  • Phone: 770-218-6899
  • Fax: 770-529-5026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number4984940002
License Number StateGA

VIII. Authorized Official

Name: MR. RAY E. ONUKOGU
Title or Position: PRESIDENT
Credential:
Phone: 770-218-6899