Provider Demographics
NPI:1770330227
Name:SYNERGY CONSTRUCTION
Entity type:Organization
Organization Name:SYNERGY CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:ANGULO ARAUJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-500-6794
Mailing Address - Street 1:2301 IVY BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-6817
Mailing Address - Country:US
Mailing Address - Phone:678-500-6794
Mailing Address - Fax:
Practice Address - Street 1:2301 IVY BIRCH LN
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-6817
Practice Address - Country:US
Practice Address - Phone:678-500-6794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker