NPI 1881189793

Above Average Professional Services

Organisation Private Vehicle Conyers, GA

Practice location

Address: 3672 Shale Ln SE, Conyers, GA 30013-5112
Phone: (678) 527-4451
Mailing address: PO Box 82854, Conyers, GA 30013-9442

Authorised official

Name: Wanda Woods
Title: Eco
Phone: (678) 527-4451

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1881189793
Entity type: Organization
NPI issued: 25 Jun 2018
Record last updated: 25 Jun 2018

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.