Organization
LAUREL BAYE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD JOHN ROSS II (PRESIDENT)
(404) 244-8211
Entity
Organization
Contact information
Practice address
6350 REGENCY PARKWAY, SUITE 500, NORCROSS, GA 30071-2338
(404) 244-8211
(404) 244-8767
Mailing address
6350 REGENCY PARKWAY, SUITE 500, NORCROSS, GA 30071-2338
(404) 244-8211
(404) 244-8767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1932155397
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933215A
—
GA
01
—
82-00259
EVERCARE PROVIDER NUMBER
GA
05
—
933215A
—
GA
05
—
DE1956
—
SC
Enumeration date
05/26/2006
Last updated
07/21/2022
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