Wallen Medical Sales, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WALLEN MEDICAL SALES, LLC

Doing business as

Wallen Medical, LLC

Practice address

5677 Brookstone Walk NW
Acworth, GA 30101-4581

Phone

(770) 218-2625

Fax

(888) 597-4366

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

David Wallen

Title

President

Phone

(770) 218-2625

Specialties & licenses 1

Addresses

Other names 1

• Wallen Medical, LLC Doing business as

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306047162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 BROOKSTONE WALK NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014581",
            "telephone_number": "770-218-2625",
            "fax_number": "888-597-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 BROOKSTONE WALK NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014581",
            "telephone_number": "770-218-2625",
            "fax_number": "888-597-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLEN MEDICAL SALES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-218-2625"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallen Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tiffani Wallis, COTA
• Chala Wami
• Joyce Wang, NP
• Rebecca N Wanjoga, AG ACNP-BC
• Therese Elaine Ward, PHARMD

• Durable Medical Equipment & Medical Supplies in Acworth, GA
• Providers in Acworth, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.