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Organization

MOBILITY REPAIR MEDICAL

Active
Other names
mobility repair medical
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE TAYLOR (OPERATIONS MANAGER)
(706) 207-3098
Entity
Organization

Contact information

Practice address
315 E MEADOW DR, ATHENS, GA 30605-6204
(706) 207-3098
Mailing address
315 E MEADOW DR, ATHENS, GA 30605-6204
(706) 207-3098

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
GA56734
GA

Other

Enumeration date
06/02/2015
Last updated
06/02/2015
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