# DELTA AMBULANCE LLC

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

## Provider details

- **NPI number:** 1144667098
- **Authorized official:** MR. HAZEM ALTAMIMI (OWNER)
- **Authorized official phone:** (770) 880-3033

## Contact information

- **Practice address:** 2341 CENTENNIAL DR STE B, GAINESVILLE, GA 30504-5762
- **Practice address phone:** (770) 880-3033
- **Practice address fax:** (770) 297-8600
- **Mailing address:** 2341 CENTENNIAL DR STE B, GAINESVILLE, GA 30504-5762
- **Mailing address phone:** (770) 880-3033
- **Mailing address fax:** (770) 297-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 069-27 | GA | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013