Organization
A MUTUAL DESTINY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEWEL L HARRIS (BUSINESS MANAGER)
(706) 289-9740
Entity
Organization
Contact information
Practice address
6501 VETERANS PKWY, SUITE 1-C, COLUMBUS, GA 31909-3169
(706) 289-9740
(706) 660-9989
Mailing address
6501 VETERANS PKWY, SUITE 1-C, COLUMBUS, GA 31909-3169
(706) 289-9740
(706) 660-9989
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
09072060
GA
347C00000X
Private Vehicle
09072060
GA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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