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Deployed Tactics

Clinic/Center, Emergency Care in Stockbridge, GA. Organization (NPI-2).

NPI number1558091967
StatusActive
Last updated in NPPESJun 16, 2022

Details

NPI
1558091967
Entity type
Organization (NPI-2)
Legal business name
Deployed Tactics
Organization subpart
No
Enumeration date
Jun 16, 2022
Certification date
Jun 16, 2022
Last updated
Jun 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0002X Clinic/Center, Emergency Care––Yes
261QC1500X Clinic/Center, Community Health––
252Y00000X Early Intervention Provider Agency––
261QP0904X Clinic/Center, Public Health, Federal––
261QP0905X Clinic/Center, Public Health, State or Local––
341600000X Ambulance––
3416L0300X Ambulance, Land Transport––
343900000X Non-emergency Medical Transport (VAN)––

Other names

  • Tactical 1st Response (Other Name)

Practice location

40 Judy Ct Ph A
Stockbridge, GA 30281-3876

Phone 202-655-8161

Mailing address

40 Judy Ct # B
Stockbridge, GA 30281-3876

Phone 202-655-8161

Authorized official

Ashton Blair Holmes
Chief Of Operations
2026558161

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