Provider Demographics
NPI:1154567329
Name:WORTHY MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:WORTHY MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:OF
Authorized Official - Phone:770-935-6043
Mailing Address - Street 1:3675 CRESTWOOD PKWY NW STE 520
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1803
Mailing Address - Country:US
Mailing Address - Phone:770-935-6043
Mailing Address - Fax:678-264-2121
Practice Address - Street 1:3675 CRESTWOOD PKWY NW
Practice Address - Street 2:SUITE 290
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1805
Practice Address - Country:US
Practice Address - Phone:770-935-6043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6184730001Medicare NSC