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Peach State Mobility LLC

Organization Active NPI Non-emergency Medical Transport (VAN) · Powder Springs, GA

NPI 1801569173 · NPPES record last updated Jul 31, 2021

Key facts

NPI
1801569173
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Legal business name
PEACH STATE MOBILITY LLC
Practice address
5154 Brown Leaf Way
Powder Springs, GA 30127-8910
Phone
(770) 693-7579
Fax
(770) 693-7612
NPI assigned
Jul 31, 2021
Organization subpart
No

Authorized official

Name
Misty Campbell NPI 1962004515
Title
Owner
Phone
(585) 957-1001

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

5154 Brown Leaf Way
Powder Springs, GA 30127-8910

Mailing address

5154 Brown Leaf Way
Powder Springs, GA 30127-8910
Phone (770) 693-7579

Other names

  • Peachstate medical transport Doing business as

Other providers in Powder Springs, GA

All providers in Powder Springs, GA · Non-emergency Medical Transport (VAN) in Georgia

Sources for this page

Verify at the official NPI Registry.