Provider Demographics
NPI:1659986776
Name:CARMICHAEL MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:CARMICHAEL MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-980-4008
Mailing Address - Street 1:2950 CHEROKEE ST NW STE 610
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-6505
Mailing Address - Country:US
Mailing Address - Phone:770-485-5651
Mailing Address - Fax:470-381-1537
Practice Address - Street 1:2950 CHEROKEE ST NW STE 610
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6505
Practice Address - Country:US
Practice Address - Phone:770-485-5651
Practice Address - Fax:470-381-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies