MEDICARE: DUNAMIS, INC

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	332BC3200X	Customized Equipment (DME)	2006015905	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184713216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUNAMIS, INC

Provider Business Mailing Address
First Line	:	3545 CRUSE RD
Second Line	:	SUITE 312
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-3170
Country	:	US
Telephone Number	:	770-279-1144
Fax Number	:	770-279-0809

Provider Business Practice Location Address
First Line	:	3545 CRUSE RD.
Second Line	:	SUITE 312
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-3171
Country	:	US
Telephone Number	:	770-279-1144
Fax Number	:	770-279-0809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD B SATTERFIELD JR.
Credential	:
Telephone Number	:	770-279-1144

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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Directions to “DUNAMIS, INC ” Practice Location

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