Organization
ACTIVE MEDICAL AND MOBILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE BUCKNER (PRESIDENT)
(863) 944-3642
Entity
Organization
Contact information
Practice address
409 MAIN ST, SAVANNAH, TN 38372-2062
(888) 316-9145
(866) 430-7946
Mailing address
409 MAIN ST, SAVANNAH, TN 38372-2062
(888) 316-9145
(866) 430-7946
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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