Healthcare Provider Details

I. General information

NPI: 1992592059
Provider Name (Legal Business Name): READY TRANSPLANT STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 DOGWOOD RD # B2002118
LAWRENCEVILLE GA
30044-7218
US

IV. Provider business mailing address

850 DOGWOOD RD # B2002118
LAWRENCEVILLE GA
30044-7218
US

V. Phone/Fax

Practice location:
  • Phone: 470-227-4780
  • Fax:
Mailing address:
  • Phone: 470-227-4780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SHANICE MOSLEY
Title or Position: FOUNDER/CEO
Credential:
Phone: 470-227-4780