Organization
ATLANTA OXYGEN AND MEDICAL
Active
Other names
Atlanta Oxygen and Medical, ATLANTA OXYGEN & HOME MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART L GIBSON (PRESIDENT)
(404) 255-4553
Entity
Organization
Contact information
Practice address
1746 DEFOOR AVE NW, ATLANTA, GA 30318-7532
(404) 355-4553
(404) 355-2447
Mailing address
6595 ROSWELL RD NE STE G, STE 228, ATLANTA, GA 30328-3152
(404) 355-4553
(404) 355-2447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
GA
3336M0002X
Mail Order Pharmacy
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00515325A
—
GA
01
—
52012641
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/07/2006
Last updated
07/21/2022
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