# SUMMIT MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1285135806
- **Authorized official:** MR. CHARLES F BUTLER SR. (CEO)
- **Authorized official phone:** (678) 343-8788

## Contact information

- **Practice address:** 100 LIBERTY ST, BARNESVILLE, GA 30204-1194
- **Practice address phone:** (678) 343-8788
- **Mailing address:** 100 LIBERTY ST STE B, BARNESVILLE, GA 30204-1194
- **Mailing address phone:** (470) 592-2157

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 11/05/2018