# NORTH STAR MEDICAL TRANSPORT INC

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

## Provider details

- **NPI number:** 1255859179
- **Authorized official:** AIMEE KENERLY (AO)
- **Authorized official phone:** (706) 452-1695

## Contact information

- **Practice address:** 556 GINN STREET, CARNESVILLE, GA 30521-9997
- **Practice address phone:** (706) 452-1695
- **Mailing address:** 556 GINN STREET, CARNESVILLE, GA 30521-9997

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 07/05/2022