Provider Demographics
NPI:1184713216
Name:DUNAMIS, INC
Entity type:Organization
Organization Name:DUNAMIS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:770-279-1144
Mailing Address - Street 1:3545 CRUSE RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-3170
Mailing Address - Country:US
Mailing Address - Phone:770-279-1144
Mailing Address - Fax:770-279-0809
Practice Address - Street 1:3545 CRUSE RD.
Practice Address - Street 2:SUITE 312
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-3171
Practice Address - Country:US
Practice Address - Phone:770-279-1144
Practice Address - Fax:770-279-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2006015905332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00701005AMedicaid