Provider Demographics
NPI:1912583980
Name:NATIONAL MEDICAL EQUIPMENT & SUPPLY COMPANY LLC
Entity Type:Organization
Organization Name:NATIONAL MEDICAL EQUIPMENT & SUPPLY COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-744-1488
Mailing Address - Street 1:4480 RIVERSIDE DR STE 19
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1363
Mailing Address - Country:US
Mailing Address - Phone:478-744-1488
Mailing Address - Fax:
Practice Address - Street 1:4480 RIVERSIDE DR STE 19
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1363
Practice Address - Country:US
Practice Address - Phone:478-744-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies