Organization · Type 2 NPI
CC Medical Supply
Durable Medical Equipment & Medical Supplies · Redan, GA
NPI number
1366749335
Active
Practice location
111 Box
Redan, GA 30074-0111
Mailing address
6266 Windy Ridge Trl
Lithonia, GA 30058-6625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | None listed |
| Hearing Aid Equipment | 332S00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1366749335
CC Medical Supply's National Provider Identifier is 1366749335, issued on Feb 27, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Redan, GA. The record was last updated on Mar 10, 2011.