Provider Demographics
NPI:1891125068
Name:MEDICAL EQUIPMENT SUPPLIERS, LLC
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT SUPPLIERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:CARHEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:404-699-0966
Mailing Address - Street 1:3915 CASCADE RD SW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8512
Mailing Address - Country:US
Mailing Address - Phone:404-699-0966
Mailing Address - Fax:404-699-0988
Practice Address - Street 1:3915 CASCADE RD SW
Practice Address - Street 2:SUITE 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8512
Practice Address - Country:US
Practice Address - Phone:404-699-0966
Practice Address - Fax:404-699-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies