Provider Demographics
NPI:1679881148
Name:KNEE WALKER RENTALS OF GEORGIA
Entity Type:Organization
Organization Name:KNEE WALKER RENTALS OF GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-858-5922
Mailing Address - Street 1:1251 JULIE CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-2254
Mailing Address - Country:US
Mailing Address - Phone:678-858-5922
Mailing Address - Fax:888-789-4160
Practice Address - Street 1:1251 JULIE CT
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-2254
Practice Address - Country:US
Practice Address - Phone:678-858-5922
Practice Address - Fax:888-789-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-18
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier