NPI 1417318015

Matrix Mobility LLC

Organisation Durable Medical Equipment & Medical Supplies Villa Rica, GA

Practice location

Address: 165 Edge Rd Suite 103, Villa Rica, GA 30180-9169
Phone: (678) 941-3891
Fax: (678) 264-0918
Mailing address: PO Box 1678, Villa Rica, GA 30180-6425

Authorised official

Name: Stephant Payton
Title: Ceo
Phone: (678) 941-3891

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 14001981 (GA)

Other Durable Medical Equipment & Medical Supplies providers in Georgia →

Registry record

NPI: 1417318015
Entity type: Organization
NPI issued: 10 Mar 2016
Record last updated: 10 Mar 2016

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.