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Organization
TRANSPORT AMERICA AMBULANCE SERVICE LLC
Active
Organization
TRANSPORT AMERICA AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DARLENE FLANAGAN DO (CFO)
(912) 805-2006
Entity
Organization
Contact information
Practice address
603 BROGDON ST, VIDALIA, GA 30474-6031
(902) 805-2007
(912) 805-2004
Mailing address
PO BOX 1872, VIDALIA, GA 30475-1872
(912) 805-2006
(912) 805-2004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
076-02
GA
Other
Enumeration date
09/12/2012
Last updated
06/24/2021
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