Fred Musah
Individual provider Active NPI Driver · McDonough, GA
NPI 1063108355 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1063108355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2015 Pennsylvania Ave
McDonough, GA 30253-9120 - Phone
- (678) 467-3148
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4Angels of Byromville Healthcare Center | Current | Accepting new patients | |
| 4Angels Home Healthcare Agency | Current |
Accepting new patients | |
| 4Angels Non-Medical Transportation | Current |
Accepting new patients |
Locations
2015 Pennsylvania Ave
McDonough, GA 30253
Phone (404) 421-6331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
2015 Pennsylvania Ave
McDonough, GA 30253-9120
Mailing address
2015 Pennsylvania Ave
McDonough, GA 30253-9120
Phone (678) 467-3148
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.