Provider Demographics
NPI:1134303514
Name:PAROS MEDICAL LLC
Entity Type:Organization
Organization Name:PAROS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:QUENTEN
Authorized Official - Middle Name:BARNETTE
Authorized Official - Last Name:COTHREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-516-0392
Mailing Address - Street 1:603 REDBUD TER
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-5103
Mailing Address - Country:US
Mailing Address - Phone:678-516-0392
Mailing Address - Fax:
Practice Address - Street 1:603 REDBUD TER
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-5103
Practice Address - Country:US
Practice Address - Phone:678-516-0392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0673671332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies