Provider Demographics
NPI:1053574889
Name:IDAW SOLUTIONS, INC.
Entity type:Organization
Organization Name:IDAW SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INDIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDERSON-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-320-8261
Mailing Address - Street 1:3230 JODECO RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-5316
Mailing Address - Country:US
Mailing Address - Phone:770-320-8261
Mailing Address - Fax:
Practice Address - Street 1:73 PRICE QUARTERS RD
Practice Address - Street 2:SUITE 134
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-4825
Practice Address - Country:US
Practice Address - Phone:770-320-8261
Practice Address - Fax:770-320-8264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies