GWINNETT SUPPLY COMPANY LLC NPI 1467659144

NPI Information

NPI: 1467659144
Provider Name: GWINNETT SUPPLY COMPANY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BD1200X
Entity Type: Organization

Specialization: Dialysis Equipment & Supplies

Address:
605 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 962-1231
Get Directions

GWINNETT SUPPLY COMPANY LLC is a dialysis equipment and supplies durable medical equipment medical supplies in Lawrenceville, GA. GWINNETT SUPPLY COMPANY LLC NPI is 1467659144. The provider is registered as an organization entity type.

The provider's business location address is:

605 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30046-315
Phone: (770) 962-1231
Fax: (770) 513-2107

The provider's authorized official is Kirti K Shah .
The authorized official title is Medical Director and has the following contact phone number (770) 962-1231.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 2/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BD1200X	Durable Medical Equipment & Medical Supplies	Dialysis Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000784693A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »