MEDICARE: ADVANTAGE MEDICAL, 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	0206009049	VA

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	:	1881698843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MEDICAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 85
Second Line	:
City	:	ONLEY
State	:	VA
Zip	:	23418
Country	:	US
Telephone Number	:	757-789-5092
Fax Number	:	757-789-5095

Provider Business Practice Location Address
First Line	:	25328 LANKFORD HWY
Second Line	:
City	:	ONLEY
State	:	VA
Zip	:	23418
Country	:	US
Telephone Number	:	757-789-5092
Fax Number	:	757-789-5095

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFFREY BRIAN SHERR
Credential	:	RPH
Telephone Number	:	410-749-8401

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/20/2014

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