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NPI 1699573907 · Home Modifications Contractor · Alpharetta, GA
Provider details
- NPI number
- 1699573907
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
270 Davenham Ct
Alpharetta, GA 30005-8985
Phone: (404) 606-4409
Fax: (404) 606-4409
Approximate (ZIP-level) locationGet directions
Mailing address
270 Davenham Ct
Alpharetta, GA 30005-8985
Additional practice locations (1)
- 270 Davenham CtAlpharetta, GA 30005-8985Phone: (404) 606-4409Fax: (404) 606-4409
Registry dates
- Enumerated
- 2025-03-04
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.