# AMTRAN MEDICAL TRANSPORT INC

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

## Provider details

- **NPI number:** 1225305964
- **Authorized official:** ROGER DUNCAN (OWNER)
- **Authorized official phone:** (706) 291-0043

## Contact information

- **Practice address:** 1611 MARTHA BERRY BLVD NW, ROME, GA 30165-1621
- **Practice address phone:** (706) 291-0043
- **Practice address fax:** (706) 622-2157
- **Mailing address:** PO BOX 676, ROME, GA 30162-0676
- **Mailing address phone:** (706) 291-0043

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 01/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003129208A | — | GA |