Organization · NPI-2
Urgent Care Medical Transport, Corp
Ambulance, Land Transport · Lithonia, GA
NPI number1164816336
StatusActive
Last updated in NPPESMar 25, 2015
Details
- NPI
- 1164816336
- Entity type
- Organization (NPI-2)
- Legal business name
- Urgent Care Medical Transport, Corp
- Organization subpart
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Mar 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | 044-35 | GA | Yes |
Practice location
2442 Stone Mountain Lithonia RdSte E
Lithonia, GA 30058-5247
Phone 904-415-9427
Mailing address
2442 Stone Mountain Lithonia Rd Ste ELithonia, GA 30058-5247
Phone 904-415-9427
Authorized official
Ashley Nicole Wilson
Owner
9044159427
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