Provider Demographics
NPI:1790841203
Name:AZ GLOBAL MARKETING COMPANY, INC.
Entity Type:Organization
Organization Name:AZ GLOBAL MARKETING COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ONUKOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-218-6899
Mailing Address - Street 1:PO BOX 440151
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30160-9503
Mailing Address - Country:US
Mailing Address - Phone:770-218-6899
Mailing Address - Fax:770-529-5026
Practice Address - Street 1:1035 COBB INDUSTRIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-6623
Practice Address - Country:US
Practice Address - Phone:770-218-6899
Practice Address - Fax:770-529-5026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4984940002332BD1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE 2747Medicaid
SCDE 2747Medicaid