Provider Demographics
NPI:1710185962
Name:COMPLETE MEDICAL PRODUCTS INC.
Entity Type:Organization
Organization Name:COMPLETE MEDICAL PRODUCTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCNEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-373-6572
Mailing Address - Street 1:2565 N DECATUR RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6126
Mailing Address - Country:US
Mailing Address - Phone:404-373-6572
Mailing Address - Fax:404-373-6572
Practice Address - Street 1:2565 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6126
Practice Address - Country:US
Practice Address - Phone:404-373-6572
Practice Address - Fax:404-373-6572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20000618322332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0211470001Medicare NSC