MEDICARE: MEDICAL AID SUPPLY HOUSE 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	335E00000X	Prosthetic/Orthotic Supplier	C21507	GA
2	251B00000X	Case Management Agency
3	332B00000X	Durable Medical Equipment & Medical Supplies		GA

General Provider Information

NPI Number	:	1982607222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL AID SUPPLY HOUSE INC

Provider Business Mailing Address
First Line	:	3455 PEACHTREE INDUSTRIAL BLVD
Second Line	:	STE 980
City	:	DULUTH
State	:	GA
Zip	:	30096-6506
Country	:	US
Telephone Number	:	770-622-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	3455 PEACHTREE INDUSTRIAL BLVD
Second Line	:	STE 980
City	:	DULUTH
State	:	GA
Zip	:	30096-6506
Country	:	US
Telephone Number	:	770-622-1211
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JEONG HEE WOO
Credential	:
Telephone Number	:	770-622-1211

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/11/2025

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