Provider Demographics
NPI:1689826802
Name:FULL MEDICAL AND OXYGEN
Entity Type:Organization
Organization Name:FULL MEDICAL AND OXYGEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:REINHOLD
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:678-859-9100
Mailing Address - Street 1:2047 GEES MILL RD NE
Mailing Address - Street 2:STE 215
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1359
Mailing Address - Country:US
Mailing Address - Phone:678-859-9100
Mailing Address - Fax:
Practice Address - Street 1:2047 GEES MILL RD NE
Practice Address - Street 2:STE 215
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1359
Practice Address - Country:US
Practice Address - Phone:678-859-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies