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

Squad Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1477399319

Squad Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

105 Commerce Dr Ste C
Fayetteville, GA 30214-7352
Phone: (678) 519-0842
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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

Record details

NPI number1477399319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Smith — Owner · (404) 442-2019
NPI enumeratedJuly 1, 2024
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address1260 Buckingham Dr, Fairburn, GA 30213-6479

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