Provider Demographics
NPI:1649010554
Name:FLOWING RIVERS MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:FLOWING RIVERS MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:NAJEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-414-1414
Mailing Address - Street 1:3401 NORMAN BERRY DR STE 116
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-5102
Mailing Address - Country:US
Mailing Address - Phone:678-915-2285
Mailing Address - Fax:470-238-6856
Practice Address - Street 1:3401 NORMAN BERRY DR STE 116
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-5102
Practice Address - Country:US
Practice Address - Phone:678-915-2285
Practice Address - Fax:470-238-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies