Provider Demographics
NPI:1134900244
Name:S2 MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:S2 MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-824-6290
Mailing Address - Street 1:1922 PROFESSIONAL CIR STE 120
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3080
Mailing Address - Country:US
Mailing Address - Phone:888-799-3767
Mailing Address - Fax:888-799-2489
Practice Address - Street 1:1922 PROFESSIONAL CIR STE 120
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3080
Practice Address - Country:US
Practice Address - Phone:888-799-3767
Practice Address - Fax:888-799-2489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S2 MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies