# CODE 3 MEDICAL TRANSPORT

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

## Provider details

- **NPI number:** 1073747697
- **Authorized official:** DANIEL MARK DAY (CEO)
- **Authorized official phone:** (678) 736-0520

## Contact information

- **Practice address:** 938 ASHTON PARK DRIVE SE, LAWRENCEVILLE, GA 30045
- **Practice address phone:** (678) 736-0520
- **Mailing address:** 938 ASHTON PARK DRIVE SE, LAWRENCEVILLE, GA 30045
- **Mailing address phone:** (678) 736-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 050324694 | GA | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/12/2009