Provider Demographics
NPI:1235672395
Name:PLATINUM MEDICAL STAFFING SERVICES,LLC
Entity Type:Organization
Organization Name:PLATINUM MEDICAL STAFFING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-278-1476
Mailing Address - Street 1:707 KELLAM RD
Mailing Address - Street 2:UNIT-B
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3376
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:707 KELLAM RD
Practice Address - Street 2:UNIT-B
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3376
Practice Address - Country:US
Practice Address - Phone:888-594-1094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care