Srubs Uniforms N More

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

BL-008270 Issued in GA

Legal business name

SRUBS UNIFORMS N MORE

Practice address

1573 Georgia Highway 20 NE Ste 106
Conyers, GA 30012-8004

Phone

(770) 922-9006

Fax

(770) 922-9303

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Tauheedah M Ross, MAMMOGRAPHY

Title

Techinician

Phone

(770) 922-9006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1164701330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 GEORGIA HIGHWAY 20 NE STE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300128004",
            "telephone_number": "770-922-9006",
            "fax_number": "770-922-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 GEORGIA HIGHWAY 20 NE STE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300128004",
            "telephone_number": "770-922-9006",
            "fax_number": "770-922-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRUBS UNIFORMS N MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TAUHEEDAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TECHINICIAN",
        "authorized_official_telephone_number": "770-922-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAMMOGRAPHY"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "BL-008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Conyers, GA
• Providers in Conyers, 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 Aug 5, 2011; 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.