Eatontown Med Supplies Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EATONTOWN MED SUPPLIES CORP

Practice address

5300 Memorial Dr Ste 134
Stone Mountain, GA 30083-3155

Phone

(770) 734-1116

Fax

(866) 537-3112

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Gloria Karnes

Title

Ceo

Phone

(770) 734-1116

Specialties & licenses 1

Addresses

Other names 1

• Atlanta Med Supplies Doing business as

Locations

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1821852302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 134",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833155",
            "telephone_number": "770-734-1116",
            "fax_number": "866-537-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 134",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833155",
            "telephone_number": "770-734-1116",
            "fax_number": "866-537-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATONTOWN MED SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-734-1116"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Med Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Stone Mountain, GA
• Providers in Stone Mountain, 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 Feb 6, 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.