# EASYMED EMS LLC

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

## Provider details

- **NPI number:** 1629582267
- **Authorized official:** EMANUEL OKAFOR (CEO)
- **Authorized official phone:** (770) 262-2005

## Contact information

- **Practice address:** 355 TALL OAKS DR SE, CONYERS, GA 30013-1670
- **Practice address phone:** (770) 389-4774
- **Practice address fax:** (770) 819-8001
- **Mailing address:** 355 TALL OAKS DR SE, CONYERS, GA 30013-1670
- **Mailing address phone:** (770) 268-1098
- **Mailing address fax:** (770) 819-8001

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2017
- **Last updated:** 10/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G2351 | GEORGIA | — |