Organization · NPI-2
Thrive Medical Transport
Ambulance · Lithonia, GA
NPI number1609208263
StatusActive
Last updated in NPPESAug 6, 2013
Details
- NPI
- 1609208263
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Medical Transport
- Organization subpart
- No
- Enumeration date
- Aug 6, 2013
- Last updated
- Aug 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 341600000X | Ambulance | 40656 | GA | Yes |
Practice location
2442 Stone Mountain Lithonia RdSuite J
Lithonia, GA 30058-5247
Phone 678-323-6775
Mailing address
2442 Stone Mountain Lithonia RdSuite J
Lithonia, GA 30058-5247
Phone 678-323-6775
Authorized official
Joseph Reynolds
Ceo
6783236775
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