Organization
OLD ROSWELL HOLDINGS LLC
Active
Other names
Medicine Shoppe 1517
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY EDEN (OWNER)
(404) 459-8005
Entity
Organization
Contact information
Practice address
1179 VESTAL AVE STE 1, BINGHAMTON, NY 13903-1606
(607) 723-7585
(607) 773-0936
Mailing address
5064 ROSWELL RD, ATLANTA, GA 30342-2281
(404) 459-8005
(404) 256-5517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
04/23/2025
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