# PHOENIX EMERGENCY MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1225479744
- **Authorized official:** MR. ROB WESLEY LUNSFORD (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (770) 914-5512

## Contact information

- **Practice address:** 1518 OLD HWY 3 N, HAMPTON, GA 30228
- **Practice address phone:** (770) 914-5512
- **Practice address fax:** (770) 981-9078
- **Mailing address:** PO BOX 1536, MCDONOUGH, GA 30253-1536
- **Mailing address phone:** (770) 914-5512
- **Mailing address fax:** (770) 981-9078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 075-12 | GA | Yes |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 10/27/2022