# ULTIMATE MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1699658484
- **Authorized official:** KEREN ROGERS (OWNER)
- **Authorized official phone:** (678) 860-4253

## Contact information

- **Practice address:** 5026 SNAPFINGER WOODS DR, DECATUR, GA 30035-4063
- **Practice address phone:** (678) 622-2538
- **Mailing address:** 2605 KINNETT DR SW, LILBURN, GA 30047-5709
- **Mailing address phone:** (678) 622-2538

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2025
- **Last updated:** 07/29/2025