Provider Demographics
NPI:1750482220
Name:MER, INC.
Entity Type:Organization
Organization Name:MER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-464-5938
Mailing Address - Street 1:340 DASHING WAVE LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4232
Mailing Address - Country:US
Mailing Address - Phone:770-752-8001
Mailing Address - Fax:770-569-0202
Practice Address - Street 1:340 DASHING WAVE LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4232
Practice Address - Country:US
Practice Address - Phone:770-752-8001
Practice Address - Fax:770-569-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA369784439AMedicaid
GA1231970001Medicare ID - Type Unspecified