Provider Demographics
NPI:1013564970
Name:DEZZ, INC
Entity Type:Organization
Organization Name:DEZZ, INC
Other - Org Name:NEW HORIZONS MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:KOLGAKLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-673-7777
Mailing Address - Street 1:725 KINGSBAY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-3807
Mailing Address - Country:US
Mailing Address - Phone:912-673-7777
Mailing Address - Fax:912-673-1177
Practice Address - Street 1:735 KINGSBAY RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3807
Practice Address - Country:US
Practice Address - Phone:912-673-7777
Practice Address - Fax:912-673-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies