Provider Demographics
NPI:1992872881
Name:A AND E MEDICAL DISCOUNTERS
Entity type:Organization
Organization Name:A AND E MEDICAL DISCOUNTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIPALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-736-6916
Mailing Address - Street 1:2146 FOUNTAIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078
Mailing Address - Country:US
Mailing Address - Phone:770-736-6916
Mailing Address - Fax:770-736-6995
Practice Address - Street 1:2146 FOUNTAIN DRIVE
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078
Practice Address - Country:US
Practice Address - Phone:770-736-6916
Practice Address - Fax:770-736-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA301083917332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherTAX ID