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Organization
GENESIS 7 TRANSPORT
Active
Organization
GENESIS 7 TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRATESCU (CEO)
(678) 948-5612
Entity
Organization
Contact information
Practice address
2675 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30045-9342
(678) 294-2601
Mailing address
PO BOX 841, SNELLVILLE, GA 30078-0841
(678) 294-2601
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128307A
—
GA
Enumeration date
05/04/2011
Last updated
08/30/2022
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