Provider Demographics
NPI:1386827434
Name:ALINEA MEDICAL, INC.
Entity Type:Organization
Organization Name:ALINEA MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-425-8895
Mailing Address - Street 1:2350 PRINCE AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-6031
Mailing Address - Country:US
Mailing Address - Phone:706-425-8895
Mailing Address - Fax:706-425-8894
Practice Address - Street 1:2350 PRINCE AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6031
Practice Address - Country:US
Practice Address - Phone:706-425-8895
Practice Address - Fax:706-425-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6044420001Medicare NSC