Provider Demographics
NPI:1689553521
Name:NEW LIFE MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:NEW LIFE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:404-629-7613
Mailing Address - Street 1:3135 DOGWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAPEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30354-1123
Mailing Address - Country:US
Mailing Address - Phone:404-549-9380
Mailing Address - Fax:404-549-9343
Practice Address - Street 1:3135 DOGWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:HAPEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30354-1123
Practice Address - Country:US
Practice Address - Phone:404-549-9380
Practice Address - Fax:404-549-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies