MEDICARE: MOBILITY PARTNERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1699013185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILITY PARTNERS, LLC

Provider Business Mailing Address
First Line	:	980 BIRMINGHAM RD
Second Line	:	SUITE 501 #304
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-4417
Country	:	US
Telephone Number	:	678-221-4006
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 BIRMINGHAM RD
Second Line	:	SUITE 501 #304
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-4417
Country	:	US
Telephone Number	:	678-221-4006
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. DYNNA BROWN
Credential	:
Telephone Number	:	678-221-4006

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	01/18/2013

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Directions to “MOBILITY PARTNERS, LLC ” Practice Location

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