# GRECO TRANSPORT LLC

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

## Provider details

- **NPI number:** 1619562303
- **Authorized official:** KARYN EDMONDSON (PRESIDENT, CEO)
- **Authorized official phone:** (706) 364-4365

## Contact information

- **Practice address:** 300 ROSE ST STE B, MARTINEZ, GA 30907-2391
- **Practice address phone:** (706) 364-4365
- **Mailing address:** 300 ROSE ST, MARTINEZ, GA 30907-2391
- **Mailing address phone:** (706) 364-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2021
- **Last updated:** 06/13/2022
