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Organization
LEGACY FIRST RESPONSE EMS LLC
Active
Organization
LEGACY FIRST RESPONSE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMPBELLSON SHACKLETON (CEO)
(770) 572-1029
Entity
Organization
Contact information
Practice address
3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
(770) 572-1029
Mailing address
3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
(770) 572-1029
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
04/25/2023
Last updated
09/10/2026
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