# PIONEER AMBULANCE SERVICES LLC

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

## Provider details

- **NPI number:** 1184412553
- **Authorized official:** MUMTAZ ROBOW (AUTHORIZED AGENT)
- **Authorized official phone:** (404) 425-6387

## Contact information

- **Practice address:** 900 N HAIRSTON RD STE C, STONE MOUNTAIN, GA 30083-2857
- **Practice address phone:** (404) 425-6387
- **Mailing address:** 900 N HAIRSTON RD STE C, STONE MOUNTAIN, GA 30083-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2025
- **Last updated:** 04/28/2025