# MEDEX OF GEORGIA INC

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

## Provider details

- **NPI number:** 1184964587
- **Authorized official:** MR. TRAVIS MITCHELL KIRKLAND (PRESIDENT)
- **Authorized official phone:** (478) 737-0094

## Contact information

- **Practice address:** 101 BELLAMY PL, STOCKBRIDGE, GA 30281-4458
- **Practice address phone:** (678) 565-6339
- **Practice address fax:** (678) 565-6331
- **Mailing address:** 101 BELLAMY PL, STOCKBRIDGE, GA 30281-4458
- **Mailing address phone:** (678) 565-6339
- **Mailing address fax:** (678) 565-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 075-11 | GA | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 11/21/2013