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Organization
NEXTGEN EMS LLC
Active
Organization
NEXTGEN EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY HALL (MANAGER)
(678) 542-0144
Entity
Organization
Contact information
Practice address
510 PLAZA DR STE 1890, COLLEGE PARK, GA 30349-6025
(678) 705-2394
Mailing address
510 PLAZA DR STE 1890, COLLEGE PARK, GA 30349-6025
(678) 705-2394
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
09/29/2020
Last updated
11/29/2021
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