Organization
INVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALINA MOTLEY (EXECUTIVE DIRECTOR)
(678) 862-8070
Entity
Organization
Contact information
Practice address
4585 RUGOSA WAY, AUSTELL, GA 30106-8006
(678) 862-8070
Mailing address
4585 RUGOSA WAY, AUSTELL, GA 30106-8006
(678) 862-8070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005038851
DUNNS
—
Enumeration date
03/11/2010
Last updated
03/11/2010
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