Provider Demographics
NPI:1699396531
Name:PIEDMONT MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:PIEDMONT MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:WERTHAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-871-1401
Mailing Address - Street 1:1777 PEACHTREE ST NE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2372
Mailing Address - Country:US
Mailing Address - Phone:678-871-1401
Mailing Address - Fax:
Practice Address - Street 1:1777 PEACHTREE ST NE STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2372
Practice Address - Country:US
Practice Address - Phone:678-871-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies