Provider Demographics
NPI:1659477925
Name:GCI VOO INC
Entity Type:Organization
Organization Name:GCI VOO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-246-0123
Mailing Address - Street 1:PO BOX 1964
Mailing Address - Street 2:
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-0964
Mailing Address - Country:US
Mailing Address - Phone:770-246-0123
Mailing Address - Fax:770-246-0123
Practice Address - Street 1:7001 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6640
Practice Address - Country:US
Practice Address - Phone:770-246-0123
Practice Address - Fax:770-246-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5782920001Medicare NSC