Provider Demographics
NPI:1053610907
Name:MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAUNTA'
Authorized Official - Middle Name:ERELL
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFICATE
Authorized Official - Phone:912-508-8058
Mailing Address - Street 1:7 GRAY FOX CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4412
Mailing Address - Country:US
Mailing Address - Phone:912-505-8058
Mailing Address - Fax:
Practice Address - Street 1:7 GRAY FOX CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4412
Practice Address - Country:US
Practice Address - Phone:912-505-8058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies