Healthcare Provider Details

I. General information

NPI: 1730032756
Provider Name (Legal Business Name): COLOR WHIPPED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6592 HIGHWAY 85
RIVERDALE GA
30274-2315
US

IV. Provider business mailing address

6691 CHURCH ST # 960683
RIVERDALE GA
30274-2213
US

V. Phone/Fax

Practice location:
  • Phone: 470-725-6047
  • Fax:
Mailing address:
  • Phone: 470-725-6047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CHRISTEN ABBOTT
Title or Position: OWNER
Credential:
Phone: 678-732-7981