Diapers Outlet Stores Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20012264052 Issued in GA

Legal business name

DIAPERS OUTLET STORES CORPORATION

Practice address

1210 Highway 85 N
Fayetteville, GA 30214-1310

Phone

(770) 216-9938

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ming Chan

Title

President

Phone

(770) 216-9938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1992988984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HIGHWAY 85 N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141310",
            "telephone_number": "770-216-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HIGHWAY 85 N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141310",
            "telephone_number": "770-216-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAPERS OUTLET STORES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-216-9938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20012264052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, 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 Dec 12, 2007; 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.