Powerchairs Plus

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

36115 Issued in GA

Legal business name

POWERCHAIRS PLUS

Practice address

634 Main St
Eastman, GA 31023-6842

Phone

(478) 374-3116

NPI assigned

Jun 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vic Bernard Mizell I

Title

Owner

Phone

(478) 374-3116

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1033370010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236842",
            "telephone_number": "478-374-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236842",
            "telephone_number": "478-374-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERCHAIRS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "VIC",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-374-3116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "36115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Eastman, GA
• Providers in Eastman, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.