Healthcare Provider Details

I. General information

NPI: 1841513496
Provider Name (Legal Business Name): INVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4585 RUGOSA WAY
AUSTELL GA
30106-8006
US

IV. Provider business mailing address

4585 RUGOSA WAY
AUSTELL GA
30106-8006
US

V. Phone/Fax

Practice location:
  • Phone: 678-862-8070
  • Fax:
Mailing address:
  • Phone: 678-862-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. SALINA MOTLEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 678-862-8070