MEDICARE: VICTORIAN MEDICAL SUPPLY, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1821023425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIAN MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	2566 SHALLOWFORD RD NE
Second Line	:	SUITE 104-143
City	:	ATLANTA
State	:	GA
Zip	:	30345-1202
Country	:	US
Telephone Number	:	770-843-5380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 HOWELL MILL RD NW
Second Line	:	#1210
City	:	ATLANTA
State	:	GA
Zip	:	30318-5559
Country	:	US
Telephone Number	:	770-843-5380
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. ADAM HARRIS
Credential	:
Telephone Number	:	770-843-5380

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1750622304 — CODERS USA
Practice Location Address:

1016 HOWELL MILL RD NW , 1302
ATLANTA, GA
30318-5559

Practice Phone: 770-882-7532
Practice Fax:

1073178893 — SALON KAIROS LLC
Practice Location Address:

1016 HOWELL MILL RD NW
ATLANTA, GA
30318-5559

Practice Phone: 770-527-8035
Practice Fax:

1700103512 — KIMBERLY A SCHNURBUSCH APRN, ACNP-BC, FNP-C
Practice Location Address:

1055 HOWELL MILL RD NW
ATLANTA, GA
30318-5557

Practice Phone: 866-849-0692
Practice Fax:

1104477827 — VANESSA MARIE SALEEM AGNP
Practice Location Address:

1055 HOWELL MILL RD NW FL 8
ATLANTA, GA
30318-5557

Practice Phone: 866-849-0692
Practice Fax:

1700687274 — MRS. CHENA YVONNE ALLEN FNP
Practice Location Address:

2056 DONALD LEE HOLLOWELL PKWY NW STE 1
ATLANTA, GA
30318-4764

Practice Phone: 470-890-3910
Practice Fax:

1962897033 — DR. SUMMER TURNER DC
Practice Location Address:

1042 NORTHSIDE DR NW STE 24
ATLANTA, GA
30318-6526

Practice Phone: 678-304-9991
Practice Fax:

Directions to “VICTORIAN MEDICAL SUPPLY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.