MEDICARE: A NEW ME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1104826049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW ME

Provider Business Mailing Address
First Line	:	7715 NASHVILLE ST
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-2302
Country	:	US
Telephone Number	:	706-935-2799
Fax Number	:	706-937-5252

Provider Business Practice Location Address
First Line	:	7715 NASHVILLE ST
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-2302
Country	:	US
Telephone Number	:	706-935-2799
Fax Number	:	706-937-5252

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KAREN A. KENNEDY
Credential	:	CFM
Telephone Number	:	707-935-2799

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/09/2012

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Directions to “A NEW ME ” Practice Location

Language	Start Address	Practice Location

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