Healthcare Provider Details

I. General information

NPI: 1699013185
Provider Name (Legal Business Name): MOBILITY PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 BIRMINGHAM RD SUITE 501 #304
ALPHARETTA GA
30004-4417
US

IV. Provider business mailing address

980 BIRMINGHAM RD SUITE 501 #304
ALPHARETTA GA
30004-4417
US

V. Phone/Fax

Practice location:
  • Phone: 678-221-4006
  • Fax:
Mailing address:
  • Phone: 678-221-4006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DYNNA BROWN
Title or Position: MANAGING MEMBER
Credential:
Phone: 678-221-4006