NPI 1871877159

Skates-N-Motion

Organisation Exclusive Provider Organization Decatur, GA

Practice location

Address: 5878 Covington Hwy STE E, Decatur, GA 30035-3745
Phone: (404) 914-1912
Mailing address: 296 Roy Huie Rd, Riverdale, GA 30274-1867

Authorised official

Name: Angelo Lorenzo Holt
Title: Executive Director
Phone: (404) 914-1912

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Georgia →

Registry record

NPI: 1871877159
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 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.