Organization Name: | ADVANCED MOBILITY, INC |
NPI Number: | 1043251879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY C RAY (VICE PRESIDENT) |
Mailing Address: | 4480-b Val North Dr Valdosta |
State: | GA US |
Postal Code: | 31602 |
Phone Number: | 2292190053 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |