Healthcare Provider Details

I. General information

NPI: 1265878698
Provider Name (Legal Business Name): EMPOR STAFFING SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 YEMASSEE TRL
STONE MTN GA
30083-4737
US

IV. Provider business mailing address

992 YEMASSEE TRL
STONE MTN GA
30083-4737
US

V. Phone/Fax

Practice location:
  • Phone: 404-299-0989
  • Fax:
Mailing address:
  • Phone: 404-299-0989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: ANDREA PINDLING
Title or Position: NURSE PRACTITONER
Credential: NP
Phone: 404-299-0989