Individual
MONTRAVIOUS GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1953 ROYAL INDUSTRIAL BLVD, AUSTELL, GA 30106-3651
(770) 823-5471
Mailing address
2984 OSHIELDS CT SW, MARIETTA, GA 30060-6377
(770) 823-5471
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
057605326
GA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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