Healthcare Provider Details

I. General information

NPI: 1295325579
Provider Name (Legal Business Name): MOTIR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 PEACHTREE RD NE STE 206
ATLANTA GA
30309-1182
US

IV. Provider business mailing address

1508 E CAPITOL ST NE
WASHINGTON DC
20003-1507
US

V. Phone/Fax

Practice location:
  • Phone: 202-371-9393
  • Fax:
Mailing address:
  • Phone: 202-371-9393
  • Fax: 202-289-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL IRONO
Title or Position: PRESIDENT & CEO
Credential:
Phone: 202-371-9393