Individual
BOBBY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 HOLDERNESS ST SW, ATLANTA, GA 30310-1750
(404) 285-7728
Mailing address
541 HOLDERNESS ST SW, ATLANTA, GA 30310-1750
(404) 285-7728
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-4315024
—
GA
Enumeration date
04/11/2018
Last updated
04/11/2018
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