Organization
AMERISOUTH MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ALLEN DANNENBERG (MANAGING MEMBER)
(404) 321-5500
Entity
Organization
Contact information
Practice address
26 EXECUTIVE PARK W, SUITE 2603, ATLANTA, GA 30329-2202
(404) 321-5500
(404) 321-5530
Mailing address
26 EXECUTIVE PARK W, SUITE 2603, ATLANTA, GA 30329-2202
(404) 321-5500
(404) 321-5530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
K931128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00849142A
—
GA
Enumeration date
07/01/2005
Last updated
08/22/2020
About Stedi
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