Organization
PRO STAFF MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA R PAYTON (OWNER)
(404) 363-2239
Entity
Organization
Contact information
Practice address
3906 BROOKGATE DR, ELLENWOOD, GA 30294-2385
(404) 363-2239
(404) 363-2909
Mailing address
3906 BROOKGATE DR, ELLENWOOD, GA 30294-2385
(404) 363-2239
(404) 363-2909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0724180
GA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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