# SILVER WHEEL MOBLIE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346791290
- **Authorized official:** BEVERLY IDRIS LVN (OWNER)
- **Authorized official phone:** (404) 789-7222

## Contact information

- **Practice address:** 1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083-1811
- **Practice address phone:** (404) 789-7222
- **Practice address fax:** (678) 705-3717
- **Mailing address:** 1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083-1811
- **Mailing address phone:** (404) 789-7222
- **Mailing address fax:** (678) 705-3717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 075206 | GA | Yes |

## Other

- **Enumeration date:** 10/16/2016
- **Last updated:** 10/16/2016