NPI 1417066515
Matrix Mobility & Healthcare Products, LLC
Practice location
- Address
- 125 Commons Way Suite 203, Villa Rica, GA 30180-7038
- Phone
- (770) 456-8018
- Fax
- (678) 228-1424
Authorised official
- Name
- Stephant Tyrone Payton
- Title
- President/Ownwer
- Phone
- (770) 456-8018
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1417066515
- Entity type
- Organization
- NPI issued
- 30 Aug 2006
- Record last updated
- 1 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.