Organization
SCOOTER REPAIR CENTER PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DAVENPORT (OPERATIONS MANAGER)
(706) 612-9856
Entity
Organization
Contact information
Practice address
4719 ATLANTA HWY, ATHENS, GA 30606-0716
(770) 985-6985
(770) 585-2635
Mailing address
4719 ATLANTA HWY, ATHENS, GA 30606-0716
(770) 985-6985
(770) 585-2635
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
GA4569
GA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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