Organization
VIDA BILLING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MONTEMAYOR (PRESIDENT)
(678) 469-6846
Entity
Organization
Contact information
Practice address
1851 MARKET ST, SUITE 104, DOUGLASVILLE, GA 30135-3134
(678) 468-6846
(888) 207-4322
Mailing address
1851 MARKET ST, SUITE 104, DOUGLASVILLE, GA 30135-3135
(678) 468-6846
(888) 207-4322
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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