SDS Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SDS MEDICAL SUPPLY

Practice address

2141 Waters Run
Decatur, GA 30035-2523

Phone

(770) 808-5265

Fax

(770) 808-5265

NPI assigned

May 28, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Seaborne

Title

Owner

Phone

(770) 808-5265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609087808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 WATERS RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352523",
            "telephone_number": "770-808-5265",
            "fax_number": "770-808-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 WATERS RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352523",
            "telephone_number": "770-808-5265",
            "fax_number": "770-808-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEABORNE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-808-5265"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Decatur, GA
• Providers in Decatur, 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.