Burgeon Medix LLC
Durable Medical Equipment & Medical Supplies in Snellville, GA. Organization (NPI-2).
NPI number1134079973
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1134079973
- Entity type
- Organization (NPI-2)
- Legal business name
- Burgeon Medix LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2026
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 251J00000X | Nursing Care | – | – |
Practice location
2336 Wisteria Dr Ste 510Snellville, GA 30078-6159
Phone 470-469-1945
Mailing address
2336 Wisteria Dr Ste 510Snellville, GA 30078-6159
Phone 678-706-3612
Authorized official
Queen-Esther Adaobi Raphael
Perioperative Manager
4704691945
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