Organization
MATRIX MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANT PAYTON (CEO)
(678) 941-3891
Entity
Organization
Contact information
Practice address
165 EDGE RD, SUITE 103, VILLA RICA, GA 30180-9169
(678) 941-3891
(678) 264-0918
Mailing address
PO BOX 1678, VILLA RICA, GA 30180-6425
(678) 941-3891
(678) 264-0918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14001981
GA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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