{"npi":"1609348481","type":"NPI-2","status":"active","name":{"display":"Full Spectrum Medical Supply, LLC","other":[],"organization_name":"FULL SPECTRUM MEDICAL SUPPLY, LLC","authorised_official":"Corey Tasman"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2030 BUFORD HWY # 1958","city":"BUFORD","state":"GA","postal_code":"305186117","country_code":"US","phone":"5613764561"},{"purpose":"MAILING","street_1":"2030 BUFORD HWY # 1958","city":"BUFORD","state":"GA","postal_code":"305186117","country_code":"US","phone":"5613764561"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-12-18","last_updated":"2020-12-03","_meta":{"source":"NPPES","snapshot_date":"2020-12-03","doc_url":"https://findmynpi.com/api"}}