Provider Demographics
NPI:1376219261
Name:AYS MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:AYS MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-413-2734
Mailing Address - Street 1:2581 HIGHWAY 54 # B2-3
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3528
Mailing Address - Country:US
Mailing Address - Phone:770-742-0223
Mailing Address - Fax:866-832-2584
Practice Address - Street 1:2581 HIGHWAY 54 # B2-3
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3528
Practice Address - Country:US
Practice Address - Phone:770-742-0223
Practice Address - Fax:866-832-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies