# COAST TO COAST MEDICAL TRANSPORTATION

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

## Provider details

- **NPI number:** 1295113868
- **Authorized official:** PEGGY WIGGINS (CEO)
- **Authorized official phone:** (478) 714-7795

## Contact information

- **Practice address:** 2128 US HIGHWAY 41 N, PERRY, GA 31069-9784
- **Practice address phone:** (888) 228-0632
- **Practice address fax:** (478) 333-6320
- **Mailing address:** 2128 US HIGHWAY 41 N, PERRY, GA 31069-9784
- **Mailing address phone:** (888) 228-0632
- **Mailing address fax:** (478) 333-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 076-03 | GA | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 10/05/2017