Healthcare Provider Details

I. General information

NPI: 1144265968
Provider Name (Legal Business Name): MEDICAL INSURANCE TRANSMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 SADDLE RIDGE DR
BLAIRSVILLE GA
30512-1652
US

IV. Provider business mailing address

6180 SADDLE RIDGE DR
BLAIRSVILLE GA
30512-1652
US

V. Phone/Fax

Practice location:
  • Phone: 706-781-3922
  • Fax: 706-781-1393
Mailing address:
  • Phone: 706-781-3922
  • Fax: 706-781-1393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MR. BILL DAVIES
Title or Position: PRESIDENT
Credential:
Phone: 706-781-3922