Organization
ACTIVE MOBILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN DWIGHT ATKINSON (OWNER)
(434) 237-8004
Entity
Organization
Contact information
Practice address
5508 FORT AVE STE A, LYNCHBURG, VA 24502-5326
(434) 237-8004
(434) 237-8005
Mailing address
5508 FORT AVE STE A, LYNCHBURG, VA 24502-5326
(434) 237-8004
(434) 237-8005
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157480
—
VA
Enumeration date
12/26/2006
Last updated
07/21/2022
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