Provider Demographics
NPI:1164680278
Name:M&M MERCHANDISER'S
Entity Type:Organization
Organization Name:M&M MERCHANDISER'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-957-1815
Mailing Address - Street 1:5441 SWEETSPRINGS DR SW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-8405
Mailing Address - Country:US
Mailing Address - Phone:678-357-1815
Mailing Address - Fax:770-943-8887
Practice Address - Street 1:5441 SWEETSPRINGS DR SW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-8405
Practice Address - Country:US
Practice Address - Phone:678-357-1815
Practice Address - Fax:770-943-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies