# PREMIER MEDICAL TRANSPORTION

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

## Provider details

- **NPI number:** 1336617034
- **Authorized official:** KRISTY N MCCORKLE (OWNER)
- **Authorized official phone:** (478) 719-7323

## Contact information

- **Practice address:** 4545 FORSYTH RD STE 1, MACON, GA 31210-4527
- **Practice address phone:** (478) 337-5202
- **Practice address fax:** (478) 215-0415
- **Mailing address:** 7040 PEAKE RD N, PO BOX 28378, MACON, GA 31210-8689
- **Mailing address phone:** (478) 337-5202
- **Mailing address fax:** (478) 215-0415

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2018
- **Last updated:** 01/15/2021
