Organization
MOBILITY DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY EZZARD (PRESIDENT)
(770) 458-1329
Entity
Organization
Contact information
Practice address
3715 NORTHCREST RD, SUITE 28, ATLANTA, GA 30340-3411
(770) 458-1329
(770) 457-3229
Mailing address
3715 NORTHCREST RD, SUITE 28, ATLANTA, GA 30340-3411
(770) 458-1329
(770) 457-3229
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20000596130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000297899A
—
GA
Enumeration date
05/25/2006
Last updated
04/17/2013
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