Provider Demographics
NPI:1902143431
Name:P.I.E. MEDICAL LLC
Entity Type:Organization
Organization Name:P.I.E. MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:SANDERS
Authorized Official - Last Name:ABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-447-1275
Mailing Address - Street 1:115 ENTERPRISE DRIVE
Mailing Address - Street 2:STE A
Mailing Address - City:PENDERGRASS
Mailing Address - State:GA
Mailing Address - Zip Code:30567-4701
Mailing Address - Country:US
Mailing Address - Phone:770-447-1275
Mailing Address - Fax:404-806-7048
Practice Address - Street 1:115 ENTERPRISE DRIVE
Practice Address - Street 2:STE A
Practice Address - City:PENDERGRASS
Practice Address - State:GA
Practice Address - Zip Code:30567-4701
Practice Address - Country:US
Practice Address - Phone:770-447-1275
Practice Address - Fax:404-806-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies