JLC MEDICAL, INC (NPI# 1083944482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083944482 |
| Entity Type | Organization |
| Organization Name | JLC MEDICAL, INC |
| Practice Address |
2041 Kerry Creek Dr Marietta GA 30066-4370 |
| Practice Telephone | 7709739518 |
| Practice Fax Number | 7709738463 |
| Mailing Telephone | 7709739518 |
| Mailing Fax Number | 7709738463 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. STEVE MITCHEL PATE (CEO) |
| Authorized Official Telephone | 7709739518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
2009#75736 | GA | Suppliers |
| Street Address |
2041 KERRY CREEK DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1447520986 | Orthotechnik LLC | Durable Medical Equipment & Medical Supplies | 167 South Ave Se, Marietta, GA 30060-2378 | 2011-12-30 |
| 1972746832 | Thyssenkrupp Access Corporation | Durable Medical Equipment & Medical Supplies | 2197 Canton Rd, 105, Marietta, GA 30066-7303 | 2009-04-08 |
| 1629253117 | Tobiah Dme Network Incorporated | Durable Medical Equipment & Medical Supplies | 3541 Main Station Dr Sw, Marietta, GA 30008-6052 | 2008-01-03 |
| 1497800551 | On The Go Medical, LLC | Durable Medical Equipment & Medical Supplies | 1310 Kennestone Cir, Marietta, GA 30066-6092 | 2007-01-25 |
| 1902839996 | Frye Dental Group LLC | Durable Medical Equipment & Medical Supplies | 1309 Greene St, Marietta, OH 45750-9172 | 2006-07-10 |
| 1447230297 | Georgia Medical Resources Inc | Durable Medical Equipment & Medical Supplies | 1634 White Cir Ste 104, Marietta, GA 30066 | 2006-01-18 |
| 1568728111 | Aurilink, LLC | Durable Medical Equipment & Medical Supplies | 627 Cherokee St Ne, Suite 9, Marietta, GA 30060-8964 | 2012-04-09 |
| 1164737508 | Alaven Pharmaceutical LLC | Durable Medical Equipment & Medical Supplies | 200 Cobb Pkwy N, Suite 428, Marietta, GA 30062-3585 | 2010-08-10 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.