Provider Demographics
NPI:1396317624
Name:AVANOS MEDICAL SALES LLC
Entity type:Organization
Organization Name:AVANOS MEDICAL SALES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP HEALTH ECONOMICS
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFURAK
Authorized Official - Suffix:
Authorized Official - Credentials:RN CPC COC
Authorized Official - Phone:470-277-8941
Mailing Address - Street 1:5405 WINDWARD PKWY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4667
Mailing Address - Country:US
Mailing Address - Phone:470-448-5000
Mailing Address - Fax:
Practice Address - Street 1:5405 WINDWARD PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-4667
Practice Address - Country:US
Practice Address - Phone:470-448-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies