Provider Demographics
NPI:1053168005
Name:THREE HILLS MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:THREE HILLS MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ENJYVELY
Authorized Official - Middle Name:
Authorized Official - Last Name:SENATUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-835-4774
Mailing Address - Street 1:1755 THE EXCHANGE SE STE 215
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7417
Mailing Address - Country:US
Mailing Address - Phone:678-835-4774
Mailing Address - Fax:
Practice Address - Street 1:1755 THE EXCHANGE SE STE 215
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7417
Practice Address - Country:US
Practice Address - Phone:678-835-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies