Provider Resource Solutions LLC

NPI #1205145414 in Fayetteville, Georgia

Provider Information

NPI Number: 1205145414
Entity Type: Organization
Organization Name: Provider Resource Solutions LLC
Primary Specialty: Supports Brokerage
Enumeration Date: Oct 5, 2010
Last Updated: Oct 5, 2010

Practice Location

Address: 101 BECKETT LN
City: Fayetteville
State: Georgia
ZIP Code: 30214-7155
Phone: (404) 829-2715

Authorized Official

Name: RHONDA ANN CROCKETT
Title: PRESIDENT
Phone: (404) 829-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Supports Brokerage	251X00000X	Primary

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