Healthcare Provider Details

I. General information

NPI: 1912263492
Provider Name (Legal Business Name): JPM SUTER & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 04/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2043 BROOKWOOD VALLEY CIR NE
ATLANTA GA
30309-1400
US

IV. Provider business mailing address

2043 BROOKWOOD VALLEY CIR NE
ATLANTA GA
30309-1400
US

V. Phone/Fax

Practice location:
  • Phone: 404-561-5714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JULIAN SUTER
Title or Position: OWNER
Credential:
Phone: 404-561-5714