Provider Demographics
NPI:1881839512
Name:LEGSDONTWORK
Entity type:Organization
Organization Name:LEGSDONTWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TINNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-321-2794
Mailing Address - Street 1:3701 NEW MCEVER RD NW STE 300
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-6628
Mailing Address - Country:US
Mailing Address - Phone:888-321-2794
Mailing Address - Fax:770-717-9005
Practice Address - Street 1:3701 NEW MCEVER RD NW STE 300
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-6628
Practice Address - Country:US
Practice Address - Phone:888-321-2794
Practice Address - Fax:770-717-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA449487332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies