Provider Demographics
NPI:1306617055
Name:JOURNEY PROUD, INC.
Entity type:Organization
Organization Name:JOURNEY PROUD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-524-3934
Mailing Address - Street 1:679 DURANT PL NE APT K
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2090
Mailing Address - Country:US
Mailing Address - Phone:404-388-9139
Mailing Address - Fax:404-420-2718
Practice Address - Street 1:679 DURANT PL NE APT K
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2090
Practice Address - Country:US
Practice Address - Phone:678-524-3934
Practice Address - Fax:404-420-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies