Provider Demographics
NPI:1508304411
Name:COMFORT MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:COMFORT MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BIN-YAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-748-0474
Mailing Address - Street 1:5055 MILLER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3751
Mailing Address - Country:US
Mailing Address - Phone:404-748-0474
Mailing Address - Fax:
Practice Address - Street 1:5055 MILLER WOODS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3751
Practice Address - Country:US
Practice Address - Phone:404-748-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies