Individual
AUGUSTA ABBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BECKETT LN, SUITE 505, FAYETTEVILLE, GA 30214-7155
(404) 918-1926
(866) 468-4047
Mailing address
320 MASTERS CLUB BLVD, HAMPTON, GA 30228-6048
(404) 918-1926
(866) 468-4047
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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