M Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

M MEDICAL SUPPLIES LLC

Practice address

132 Stanley CT Ste E
Lawrenceville, GA 30046-9061

Phone

(678) 845-6854

Fax

(470) 276-6976

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Inshirah Jihad

Title

Authorized Official

Phone

(678) 845-6854

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1699502286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STANLEY CT STE E",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300469061",
            "telephone_number": "678-845-6854",
            "fax_number": "470-276-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 STANLEY CT STE E",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300469061",
            "telephone_number": "678-845-6854",
            "fax_number": "470-276-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "JIHAD",
        "authorized_official_first_name": "INSHIRAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "678-845-6854"
    },
    "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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• Althea D. Lyons, B.S.
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• Kristen Macdonald, PT, DPT
• Lisa M Macdowell, PHARMD
• Jonathan A Macfarlane, MA, LPC, NCC

• Durable Medical Equipment & Medical Supplies in Lawrenceville, GA
• Providers in Lawrenceville, 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 Sep 17, 2024; 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.