Provider Demographics
NPI:1336446111
Name:AT SPECIALISTS INC.
Entity Type:Organization
Organization Name:AT SPECIALISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-454-1740
Mailing Address - Street 1:1480 ANDERSON HWY
Mailing Address - Street 2:SUITE M
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-8050
Mailing Address - Country:US
Mailing Address - Phone:804-594-3883
Mailing Address - Fax:804-897-5224
Practice Address - Street 1:1480 ANDERSON HWY
Practice Address - Street 2:SUITE M
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-8050
Practice Address - Country:US
Practice Address - Phone:804-594-3883
Practice Address - Fax:804-897-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies