Provider Demographics
NPI:1508916248
Name:CHRISTIANS MEDICAL EQUIPMENT & SUPPLIES INC.
Entity Type:Organization
Organization Name:CHRISTIANS MEDICAL EQUIPMENT & SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHAFIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-362-6901
Mailing Address - Street 1:1057 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-1482
Mailing Address - Country:US
Mailing Address - Phone:404-362-6901
Mailing Address - Fax:404-362-6904
Practice Address - Street 1:1057 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-1482
Practice Address - Country:US
Practice Address - Phone:404-362-6901
Practice Address - Fax:404-362-6904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA338928OtherWELLCARE ID
GA=========OtherFIN
GA5581870001Medicare ID - Type UnspecifiedREGION C