Epw Enterprise LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20171 Issued in GA

Legal business name

EPW ENTERPRISE LLC

Doing business as

EPW Global Medical

Practice address

3686 Lower Creek Dr
Douglasville, GA 30135-4291

Phone

(678) 838-9011

NPI assigned

May 20, 2010

Organization subpart

Yes

Parent organization

EPW ENTERPRISE LLCAs reported in NPPES

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

Authorized official

Name

Patrice Leshelle Dixon

Title

Managing Principal

Phone

(678) 838-9011

Specialties & licenses 1

Addresses

Other names 1

• EPW Global Medical Doing business as

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1518286202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 LOWER CREEK DRIVE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-838-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 LOWER CREEK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354291",
            "telephone_number": "678-838-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPW ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPW ENTERPRISE LLC",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "LESHELLE",
        "authorized_official_title_or_position": "MANAGING PRINCIPAL",
        "authorized_official_telephone_number": "678-838-9011"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPW Global Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Douglasville, GA
• Providers in Douglasville, 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 May 20, 2010; 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.