Guardian Medical Transport LLC
Ambulance, Land Transport in Fayetteville, GA. Organization (NPI-2).
NPI number1942592142
StatusActive
Last updated in NPPESSep 18, 2014
Details
- NPI
- 1942592142
- Entity type
- Organization (NPI-2)
- Legal business name
- Guardian Medical Transport LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2011
- Last updated
- Sep 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | 060-77 | GA | Yes |
Other names
- Guardian Medical Transport (Doing Business As)
Practice location
500 Lanier Ave WUnit 505
Fayetteville, GA 30214-7636
Phone 678-545-6189 · Fax 770-461-9459
Mailing address
Po Box 589Madisonville, KY 42431-5011
Phone 270-824-8123 · Fax 270-824-8140
Authorized official
Paul Evans
Owner/President
6786031637
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