Organization
SOUTHWEST MOBILITY INCORPORATED
Active
Other names
Scooter Mobility Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SABRINA FARMER (SECRETARY)
(386) 426-2970
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 105, BRUNSWICK, GA 31520-4219
(912) 342-1004
(912) 342-1006
Mailing address
PO BOX 42, NEW SMYRNA BEACH, FL 32170-0042
(386) 426-2970
(386) 426-6292
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52069832
GA BCBS
GA
05
—
825649194A
—
GA
Enumeration date
07/14/2006
Last updated
02/05/2009
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