Healthcare Provider Details

I. General information

NPI: 1609785583
Provider Name (Legal Business Name): WOMACK & SONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 SUMMIT AVE APT 1
HAGERSTOWN MD
21740-6068
US

IV. Provider business mailing address

PO BOX 335
HAGERSTOWN MD
21741-0335
US

V. Phone/Fax

Practice location:
  • Phone: 202-922-2245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: SHAWN WOMACK JR.
Title or Position: MANAGER
Credential:
Phone: 202-922-2245