# MERCURY EMS LLC

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

## Provider details

- **NPI number:** 1265717813
- **Authorized official:** MRS. KELLY ROBINSON VANN (DIRECTOR)
- **Authorized official phone:** (770) 693-2291

## Contact information

- **Practice address:** 8335 OFFICE PARK DR, SUTIE \#B, DOUGLASVILLE, GA 30134-6937
- **Practice address phone:** (770) 693-2291
- **Practice address fax:** (770) 693-2586
- **Mailing address:** 8331 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
- **Mailing address phone:** (770) 693-2291
- **Mailing address fax:** (770) 693-2586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 3416LO300X | GA | Yes |

## Other

- **Enumeration date:** 10/14/2011
- **Last updated:** 08/29/2012