Healthcare Provider Details

I. General information

NPI: 1750370300
Provider Name (Legal Business Name): APLUS MOBILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 GRAND SLAM DR
EVANS GA
30809-8011
US

IV. Provider business mailing address

527 GRAND SLAM DR
EVANS GA
30809-8011
US

V. Phone/Fax

Practice location:
  • Phone: 706-722-0276
  • Fax: 706-722-0279
Mailing address:
  • Phone: 706-722-0276
  • Fax: 706-722-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number2005#013079
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier549188
Identifier TypeMEDICAID
Identifier StateSC
Identifier Issuer
# 2
Identifier000521034A
Identifier TypeMEDICAID
Identifier StateGA
Identifier Issuer

VIII. Authorized Official

Name: MRS. CAROL V BOWER
Title or Position: VICE-PRESIDENT
Credential:
Phone: 706-722-0276