Provider Demographics
NPI:1386165827
Name:M & S EXAMS ON THE GO
Entity type:Organization
Organization Name:M & S EXAMS ON THE GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:NANETTE
Authorized Official - Last Name:ELLIS-WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:AAS
Authorized Official - Phone:770-681-8192
Mailing Address - Street 1:669 MARSH CT
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4516
Mailing Address - Country:US
Mailing Address - Phone:770-681-8192
Mailing Address - Fax:
Practice Address - Street 1:669 MARSH CT
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4516
Practice Address - Country:US
Practice Address - Phone:770-681-8192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M & S EXAMS ON THE GO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health