Provider Demographics
NPI:1235774423
Name:ABLEMED SUPPLY
Entity Type:Organization
Organization Name:ABLEMED SUPPLY
Other - Org Name:ABLEMED SUPPLY, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:912-677-9672
Mailing Address - Street 1:11 GATEWAY BLVD S STE 13
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9058
Mailing Address - Country:US
Mailing Address - Phone:912-344-4675
Mailing Address - Fax:912-231-3569
Practice Address - Street 1:122 HERITAGE WAY
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-9650
Practice Address - Country:US
Practice Address - Phone:912-677-9672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies