# LEGACY FIRST RESPONSE EMS LLC

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

## Provider details

- **NPI number:** 1346938701
- **Authorized official:** CAMPBELLSON SHACKLETON (CEO)
- **Authorized official phone:** (770) 572-1029

## Contact information

- **Practice address:** 3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
- **Practice address phone:** (770) 572-1029
- **Mailing address:** 3230 HIGHWAY 42 STE L, STOCKBRIDGE, GA 30281-4695
- **Mailing address phone:** (770) 572-1029

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 09/10/2026