Provider Demographics
NPI:1396812178
Name:MED PARTNERS
Entity type:Organization
Organization Name:MED PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RHYS
Authorized Official - Middle Name:C
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-760-8363
Mailing Address - Street 1:3030 EDWARDS DR SE
Mailing Address - Street 2:SUITE F
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1856
Mailing Address - Country:US
Mailing Address - Phone:770-760-8363
Mailing Address - Fax:
Practice Address - Street 1:3030 EDWARDS DR SE
Practice Address - Street 2:SUITE F
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1856
Practice Address - Country:US
Practice Address - Phone:770-760-8363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies