Organization
SILVER WHEEL MOBLIE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY IDRIS LVN (OWNER)
(404) 789-7222
Entity
Organization
Contact information
Practice address
1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083-1811
(404) 789-7222
(678) 705-3717
Mailing address
1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083-1811
(404) 789-7222
(678) 705-3717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
075206
GA
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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