Flexforce Medical Supply LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FLEXFORCE MEDICAL SUPPLY LLC

Practice address

3595 Hiram Douglasville Hwy Ste 220
Hiram, GA 30141-4964

Phone

(678) 742-8277

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Latoria Nate Wilson

Title

President

Phone

(678) 742-8277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1710491204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 HIRAM DOUGLASVILLE HWY STE 220",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414964",
            "telephone_number": "678-742-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 HIRAM DOUGLASVILLE HWY STE 220",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414964",
            "telephone_number": "678-742-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXFORCE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LATORIA",
        "authorized_official_middle_name": "NATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-742-8277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Hiram, GA
• Providers in Hiram, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.