Provider Demographics
NPI:1801222872
Name:TOTAL DOMINION ENTERPRISES, INC
Entity Type:Organization
Organization Name:TOTAL DOMINION ENTERPRISES, INC
Other - Org Name:ONPOINT MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-374-1548
Mailing Address - Street 1:140 QUEENSLAND LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-3098
Mailing Address - Country:US
Mailing Address - Phone:770-374-1548
Mailing Address - Fax:
Practice Address - Street 1:140 QUEENSLAND LN
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-3098
Practice Address - Country:US
Practice Address - Phone:770-374-1548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-22
Last Update Date:2013-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies