Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medlife Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1164691598

Medlife Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2191 Northlake Pkwy Suite-J Bldg #11
Tucker, GA 30084-4166
Phone: (770) 908-5666
Fax: (770) 908-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 20020660338 (GA)

Record details

NPI number1164691598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Smith — Owner General Manager · (770) 908-5666
NPI enumeratedFebruary 29, 2008
Last updated in NPPESJune 20, 2008
Mailing address2191 Northlake Pkwy, Suite-J Bldg #11, Tucker, GA 30084-4166

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