Organization
BAD BOY BENZO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ANTONIO GIBSON JD (C.E.O.)
(504) 261-0386
Entity
Organization
Contact information
Practice address
4107 OVERBROOK DR, FLOWERY BRANCH, GA 30542-1217
(504) 261-0386
Mailing address
570 PIEDMONT AVE NE UNIT 55292, ATLANTA, GA 30308-8715
(504) 261-0386
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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