# SELECT CHOICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043560584
- **Authorized official:** MR. DEMETRICH ANTWONE MOSS (CEO)
- **Authorized official phone:** (678) 431-6812

## Contact information

- **Practice address:** 2426 PARK CENTRAL BLVD, DECATUR, GA 30035-3901
- **Practice address phone:** (678) 431-6812
- **Practice address fax:** (866) 371-3489
- **Mailing address:** 2426 PARK CENTRAL BLVD, DECATUR, GA 30035-3901
- **Mailing address phone:** (678) 431-6812
- **Mailing address fax:** (866) 371-3489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 044-33 | GA | Yes |
| 3416L0300X | Land Ambulance | 60 | GA | — |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 10/24/2014