Organization
SANACO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANECE BELVIN (PRESIDENT)
(770) 477-4778
Entity
Organization
Contact information
Practice address
2415 CREEKSIDE TRCE, JONESBORO, GA 30236-6187
(770) 471-4778
Mailing address
2415 CREEKSIDE TRCE, JONESBORO, GA 30236-6187
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
053867095
GA
347E00000X
Transportation Broker
053867095
GA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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