Healthcare Provider Details

I. General information

NPI: 1689537821
Provider Name (Legal Business Name): RYDMAAX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 WEST BRUCE ST
MCRAE GA
31055
US

IV. Provider business mailing address

128 WEST BRUCE ST
MCRAE GA
31055
US

V. Phone/Fax

Practice location:
  • Phone: 229-315-0495
  • Fax:
Mailing address:
  • Phone: 229-315-0495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: JESSICA RICH
Title or Position: OWNER/OPERATOR
Credential: RN
Phone: 229-315-0495