1770501736 MEDISOURCE HOME MEDICAL
Customized Equipment (DME)
Active
Basic Information
- Organization Name
- MEDISOURCE HOME MEDICAL
- Enumeration Date
- July 18, 2006
- Last Update
- October 13, 2020
- Authorized Official
- MR. SERGIO SILVA SR.
OWNER
Phone: (770) 528-9559
Practice Location
- Address
- 975 COBB PLACE BLVD NW STE 113
KENNESAW, GA 301446848 - Phone
- (770) 528-9559
- Fax
- (770) 528-9309
Mailing Address
- Address
- 975 COBB PLACE BLVD NW STE 113
KENNESAW, GA 301446848 - Phone
- (770) 528-9559
- Fax
- (770) 528-9309
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 332BX2000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Customized Equipment (DME) Customized Equipment | 332BC3200X | Durable Medical Equipment & Medical Supplies | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52164995 | 01 | GA | BCBS |
| 341310291A | 05 | GA | N/A |
| 1023735 | 01 | GA | UHC |
Frequently Asked Questions
What is MEDISOURCE HOME MEDICAL's NPI number?
MEDISOURCE HOME MEDICAL's NPI number is 1770501736.
Which doctor has NPI number 1770501736?
The doctor with NPI number 1770501736 is MEDISOURCE HOME MEDICAL.
What is MEDISOURCE HOME MEDICAL's practice address?
MEDISOURCE HOME MEDICAL's practice address is 975 COBB PLACE BLVD NW STE 113, KENNESAW, GA, 301446848.
Which doctor practices at 975 COBB PLACE BLVD NW STE 113, KENNESAW, GA, 301446848?
MEDISOURCE HOME MEDICAL practices at 975 COBB PLACE BLVD NW STE 113, KENNESAW, GA, 301446848.
What is MEDISOURCE HOME MEDICAL's phone number?
MEDISOURCE HOME MEDICAL's phone number is (770) 528-9559.
Who is (770) 528-9559?
(770) 528-9559 is the phone number for MEDISOURCE HOME MEDICAL.
What is MEDISOURCE HOME MEDICAL's specialty?
MEDISOURCE HOME MEDICAL's specialty is Customized Equipment (DME).
What type of doctor is MEDISOURCE HOME MEDICAL?
MEDISOURCE HOME MEDICAL is a Customized Equipment (DME).
Is MEDISOURCE HOME MEDICAL a Customized Equipment?
Yes, MEDISOURCE HOME MEDICAL is a Customized Equipment.
Is MEDISOURCE HOME MEDICAL still practicing?
Yes, MEDISOURCE HOME MEDICAL is currently practicing.
Is MEDISOURCE HOME MEDICAL accepting new patients?
MEDISOURCE HOME MEDICAL may be accepting new patients. Please call their office at (770) 528-9559 to inquire about availability.
Is NPI 1770501736 still active?
Yes, NPI 1770501736 is currently active.
Where does MEDISOURCE HOME MEDICAL practice?
MEDISOURCE HOME MEDICAL practices in KENNESAW, GA.