MEDICARE: CAROL MUELLE 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1255343224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL MUELLE INC

Provider Business Mailing Address
First Line	:	764 SAN ANTONIO DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3433
Country	:	US
Telephone Number	:	404-815-0022
Fax Number	:	404-748-1693

Provider Business Practice Location Address
First Line	:	764 SAN ANTONIO DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3433
Country	:	US
Telephone Number	:	404-815-0022
Fax Number	:	404-748-1693

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CAROL MUELLE
Credential	:
Telephone Number	:	404-815-0022

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	08/04/2008

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