Organization
DURABLE MEDICAL SUPPLY, INC.
Active
Organization
DURABLE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON OROBOR (DIRECTOR)
(770) 719-9998
Entity
Organization
Contact information
Practice address
720 GLYNN ST N, #D-1, FAYETTEVILLE, GA 30214-6706
(770) 719-9998
(770) 719-9970
Mailing address
720 GLYNN ST N STE D1, FAYETTEVILLE, GA 30214-6706
(770) 719-9998
(770) 719-9970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
302613978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932368359A
—
GA
Enumeration date
12/29/2005
Last updated
05/01/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up