Provider Demographics
NPI:1104349208
Name:TRANSUNION MEDICAL SUPPLY AND SERVICES, INC
Entity type:Organization
Organization Name:TRANSUNION MEDICAL SUPPLY AND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-856-7126
Mailing Address - Street 1:110 HABERSHAM DR STE 106
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1381
Mailing Address - Country:US
Mailing Address - Phone:770-371-5035
Mailing Address - Fax:770-800-1871
Practice Address - Street 1:110 HABERSHAM DR
Practice Address - Street 2:STE 106
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1381
Practice Address - Country:US
Practice Address - Phone:770-371-5035
Practice Address - Fax:770-800-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies