Healthcare Provider Details

I. General information

NPI: 1821912346
Provider Name (Legal Business Name): MOJEVITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 JADE DR
MARTINEZ GA
30907-9465
US

IV. Provider business mailing address

452 JADE DR
MARTINEZ GA
30907-9465
US

V. Phone/Fax

Practice location:
  • Phone: 864-642-5783
  • Fax:
Mailing address:
  • Phone: 864-642-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED D SALEEM
Title or Position: MANAGING MEMBER
Credential: MD, MPH
Phone: 864-642-5783