Provider Demographics
NPI:1255212312
Name:AA MED SUPPLY INC
Entity type:Organization
Organization Name:AA MED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-216-0232
Mailing Address - Street 1:5950 CROOKED CREEK RD STE 150G
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6216
Mailing Address - Country:US
Mailing Address - Phone:912-662-1735
Mailing Address - Fax:912-387-2389
Practice Address - Street 1:5950 CROOKED CREEK RD STE 150G
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-6216
Practice Address - Country:US
Practice Address - Phone:912-662-1735
Practice Address - Fax:912-387-2389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies