Provider Demographics
NPI:1912986597
Name:ABSOLUTE MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:CHAPPELL
Authorized Official - Last Name:TEMPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-854-9234
Mailing Address - Street 1:30 E GORDON RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2214
Mailing Address - Country:US
Mailing Address - Phone:678-854-9234
Mailing Address - Fax:678-854-9238
Practice Address - Street 1:560 MARKSMEN CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-5918
Practice Address - Country:US
Practice Address - Phone:770-716-3833
Practice Address - Fax:770-716-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00904736AMedicaid
GA52864543-002OtherBCBS SUPPLIER NUMBER
GA52864543-002OtherBCBS SUPPLIER NUMBER