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SAFEWAY MEDICAL LLC
NPI 1063936623
Durable Medical Equipment & Medical Supplies in Snellville, GA

Active since July 26, 2017
2330 SCENIC HWY S STE 303, SNELLVILLE, GA 30078(770) 674-2875(770) 674-2876 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 18, 2018, Jul 26, 2017 (3 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About SAFEWAY MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Safeway Medical Llc, a provider established in Snellville, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1063936623 assigned on July 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Moco Willis (Owner)

NPI
1063936623 Verify this NPI
Provider Name
SAFEWAY MEDICAL LLC
Entity Type
Organization
Location Address
2330 SCENIC HWY S STE 303 SNELLVILLE, GA 30078
Location Phone
(770) 674-2875
Location Fax
(770) 674-2876
Mailing Address
2330 SCENIC HWY S STE 303 SNELLVILLE, GA 30078
Mailing Phone
(770) 674-2875
Mailing Fax
(770) 674-2876
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2017
Last Update Date
07-21-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
GA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOCO WILLIS

Authorized Official Title
OWNER
Authorized Official Phone
(770) 674-2875

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

EVERGREEN MEDICAL SUPPLY INC
Durable Medical Equipment & Medical Supplies
2330 SCENIC HWY S STE 303
SNELLVILLE, GA 30078
Gwinnett County (678) 502-1440

Frequently Asked Questions

What is SAFEWAY MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1063936623, enumerated as an "organization" on July 26, 2017.

Where is the provider located?

The provider is located at 2330 SCENIC HWY S STE 303 SNELLVILLE, GA 30078 and the phone number is (770) 674-2875.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.