MEDICARE: ATLANTIC MEDICAL EQUIPMENT

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

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	:	1508891698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	PO BOX 198870
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-8870
Country	:	US
Telephone Number	:	910-791-6442
Fax Number	:	866-278-1293

Provider Business Practice Location Address
First Line	:	4536 TECHNOLOGY DR
Second Line	:	SUITE 4
City	:	WILMINGTON
State	:	NC
Zip	:	28405-2172
Country	:	US
Telephone Number	:	910-791-6442
Fax Number	:	866-278-1293

Authorized Official
Title or Position	:	OWNER
Name	:	PETE GRATALE
Credential	:
Telephone Number	:	910-791-6442

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/31/2010

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Directions to “ATLANTIC MEDICAL EQUIPMENT ” Practice Location

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