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Organization
LIFEPOINTE MEDICAL TRANSPORT LLC
Active
Organization
LIFEPOINTE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ALEXANDER KEMP II M.B.A. (MEMBER)
(229) 402-1411
Entity
Organization
Contact information
Practice address
4191 GRAY HWY, GRAY, GA 31032-6101
(229) 402-1411
(478) 216-2015
Mailing address
PO BOX 1654, GRAY, GA 31032-1654
(229) 402-1411
(478) 216-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
GA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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