Organization
AMS VANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA STACY (SENIOR ACCOUNTANT)
(678) 387-6631
Entity
Organization
Contact information
Practice address
6275 LAWRENCEVILLE HWY, TUCKER, GA 30084-1830
(770) 729-9400
(678) 935-0767
Mailing address
6275 LAWRENCEVILLE HWY, TUCKER, GA 30084-1830
(770) 729-9400
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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