Dunham Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DUNHAM MEDICAL LLC

Practice address

3900 Legacy Park Blvd NW
D-300
Kennesaw, GA 30144-7412

Phone

(770) 795-0592

Fax

(770) 795-1199

NPI assigned

Feb 25, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Edward Dunham, CPED

Title

President

Phone

(770) 795-0592

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1467621375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LEGACY PARK BLVD NW",
            "address_2": "D-300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447412",
            "telephone_number": "770-795-0592",
            "fax_number": "770-795-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LEGACY PARK BLVD NW",
            "address_2": "D-300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447412",
            "telephone_number": "770-795-0592",
            "fax_number": "770-795-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNHAM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-795-0592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Due West Integrated Health Center Physical Medicine, LLC
• Stephanie Dumas
• Amari Mekkhi Dunbar
• Kelly H Duncan, MS, CCC-SLP
• Paul Eric Duncan, DMD
• Gloria Dunston
• An C Duong, PHARMD
• Joseph Michael Durham
• Ronald Edward Durie Jr., DMD
• Anel Durmisevic

• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, 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 Jun 23, 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.