Purdencio Ms Surplus Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PURDENCIO MS SURPLUS INC.

Practice address

5900 Maxham Rd
Suite#17
Austell, GA 30168-4258

Phone

(770) 739-8092

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Habib Geagea

Title

Owner

Phone

(770) 739-8092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1881889202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MAXHAM RD",
            "address_2": "SUITE#17",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684258",
            "telephone_number": "770-739-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MAXHAM RD",
            "address_2": "SUITE#17",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684258",
            "telephone_number": "770-739-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDENCIO MS SURPLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "GEAGEA",
        "authorized_official_first_name": "HABIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-739-8092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Austell, GA
• Providers in Austell, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.