Organization
MEDIQUIP MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA WATT (CEO)
(770) 498-7077
Entity
Organization
Contact information
Practice address
4404 HUGH HOWELL RD, SUITE 21, TUCKER, GA 30084-5996
(770) 270-5808
Mailing address
4404 HUGH HOWELL ROAD, SUITE 21, TUCKER, GA 30084-5996
(770) 270-5808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
133568
GA
335E00000X
Prosthetic/Orthotic Supplier
133568
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000885684A
—
GA
Enumeration date
11/03/2006
Last updated
10/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us