Provider Demographics
NPI:1508323338
Name:JAYS MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:JAYS MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CEESAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:770-376-6571
Mailing Address - Street 1:145 GOVERNORS SQ STE E
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-4861
Mailing Address - Country:US
Mailing Address - Phone:770-376-6571
Mailing Address - Fax:770-703-4087
Practice Address - Street 1:145 GOVERNORS SQ STE E
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-4861
Practice Address - Country:US
Practice Address - Phone:770-376-6571
Practice Address - Fax:770-703-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies