Provider Demographics
NPI:1588837116
Name:MEDICAL TECHNOLOGIES OF GEORGIA INC
Entity Type:Organization
Organization Name:MEDICAL TECHNOLOGIES OF GEORGIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-788-0763
Mailing Address - Street 1:15151 PRATER DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-4961
Mailing Address - Country:US
Mailing Address - Phone:770-788-0763
Mailing Address - Fax:770-788-0764
Practice Address - Street 1:15151 PRATER DR
Practice Address - Street 2:SUITE E
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-4961
Practice Address - Country:US
Practice Address - Phone:770-788-0763
Practice Address - Fax:770-788-0764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies