| Organization Name: | AMERISOUTH MOBILITY, LLC |
| NPI Number: | 1396742532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON ALLEN DANNENBERG (MANAGING MEMBER) |
| Mailing Address: | 26 Executive Park W Suite 2603 Atlanta |
| State: | GA US |
| Postal Code: | 303292202 |
| Phone Number: | 4043215500 |
| Fax Number: | 4043215530 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | K931128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |