Provider Demographics
NPI:1487930939
Name:PHYSICIAN'S 1ST CHOICE MEDICAL EQUIPMENT & SUPPLIES
Entity type:Organization
Organization Name:PHYSICIAN'S 1ST CHOICE MEDICAL EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-551-6502
Mailing Address - Street 1:195 KENNEDY CIR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-3446
Mailing Address - Country:US
Mailing Address - Phone:404-551-6502
Mailing Address - Fax:
Practice Address - Street 1:195 KENNEDY CIR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-3446
Practice Address - Country:US
Practice Address - Phone:404-551-6502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies