MEDICARE: DOMAINFLIP LLC

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)

General Provider Information

NPI Number	:	1326917923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMAINFLIP LLC

Provider Business Mailing Address
First Line	:	10302 ASHFORD GABLES DR
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-7875
Country	:	US
Telephone Number	:	404-446-4519
Fax Number	:

Provider Business Practice Location Address
First Line	:	10302 ASHFORD GABLES DR
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-7875
Country	:	US
Telephone Number	:	404-446-4519
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS ASHLEY ANGEL
Credential	:	SR
Telephone Number	:	404-446-4519

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	12/11/2025

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Directions to “DOMAINFLIP LLC ” Practice Location

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