Active NPI
PD-Uwear, LLC
- Dialysis Equipment & Supplies (DME)
- Stockbridge, GA
National Provider Identifier
1083874093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- Legal business name
- PD-UWEAR, LLC
- Practice address
- 1960 Oakwood Dr
Stockbridge, GA 30281-5061 - Phone
- (770) 354-0539
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary N Conner
- Title
- Member/Owner
- Phone
- (770) 354-0539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | Primary |
Addresses
Primary practice location
1960 Oakwood Dr
Stockbridge, GA 30281-5061
Mailing address
PO Box 819
Stockbridge, GA 30281-0819
Phone (770) 354-0539
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1083874093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302810819",
"telephone_number": "770-354-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 OAKWOOD DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815061",
"telephone_number": "770-354-0539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PD-UWEAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "770-354-0539"
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.