Organization
STAY ACTIVE INC
Active
Other names
101 Mobility of North Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAROL A ORR (PRESIDENT)
(678) 492-7899
Entity
Organization
Contact information
Practice address
935 HIGHWAY 124, SUITE 206, BRASELTON, GA 30517-3484
(678) 492-7899
(770) 965-9249
Mailing address
935 HIGHWAY 124, SUITE 206, BRASELTON, GA 30517-3484
(678) 492-7899
(770) 965-9249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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